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This randomized, double-blind, placebo-controlled trial in 58 older adults identified as "pre-frail" found an decrease in a Frailty Index score and an improvement in the hand grip test in individuals supplemented with L-carnitine (1.5 g/day) over 10 weeks but not in those given a placebo (118)

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The practical solution: switch to transdermal HRT The simplest way to avoid the absorption problem is to use non-oral hormone delivery

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