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On the testosterone side, the side effect profile is whatever your existing TRT protocol already carries: this stack doesn't change your hormone dosing, so it doesn't add new hormone-related risk on top of what your clinician is already monitoring

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For instance, administration of sodium lactate was shown to significantly enhance cardiac performance in patients with acute heart failure, suggesting that the timing and context of lactate modulation are critical and that boosting lactate levels can be beneficial in certain clinical scenarios [139]

doi: 10.1161/CIRCRESAHA.117.310978 93 StnescuDSannaAVeriterCKostianevSCalcagniPGFabbriLMet al