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Secondary metabolic markers include fasting glucose, insulin sensitivity via HOMA-IR or glucose tolerance testing, body composition changes (DEXA scan or MRI for fat mass and lean mass distribution), mitochondrial respiration capacity via Seahorse analyzer, and serum markers like HbA1c for long-term glucose control

M., O'Rourke, B., Paolocci, N., Cortassa, S

10.1021/jf051014x 182 ShouQ.PanY.XuX.XuJ.WangD.LingY.et al

This leads to healthy luteinizing hormone production and raises testosterone synthesis

Nephrol Dial Transplant (2011) 26(5):147483
