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the synthesis of progesterone increases greatly, leaving little coenzyme A leftover to deal with lipid metabolism (Source)

J Gastroenterol Hepatol 29:14491457 Hozo SP, Djulbegovic B, Hozo I (2005) Estimating the mean and variance from the median, range, and the size of a sample

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If symptoms point to a broader metabolic or neuromuscular issue, doctors may investigate related causes rather than focusing on supplements alone