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It is important to note that while many seek off-label uses for athletic performance, FDA-approved treatments specifically target diagnosed medical conditions

Clinically, this often surfaces as cognitive fatigue, difficulty with memory retrieval, and the phenomenon that many women describe as "menofog," a pervasive sense of mental cloudiness that is not simply tiredness but reflects a genuine disruption in how brain cells are producing and managing energy [2]

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[1] [4] There is also an increased risk of hypoglycaemia when used with insulin or sulfonylureas

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