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Step 4: Ongoing Monitoring and Adjustment Hormone optimization requires regular follow-up to ensure optimal results and safety

3 Normal cardiac energy metabolism and abnormal cardiac energy metabolism 3.1 Energy metabolism of the normal heart Under normal physiological conditions, the heart generates adenosine triphosphate (ATP) through mitochondrial oxidative phosphorylation, utilizing fatty acids oxidation (FAO), glucose, lactic acid, ketone bodies, and amino acids (AA) (34, 35)

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