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A good analogy is to think of cofactors like the spark plug in a car

Terwee 3 , Lotte Haverman 2 , Kelly L.A

As we age, our natural growth hormone levels may decline, contributing to changes in metabolism and muscle tone

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and laboratory data including HbA1c (average blood sugar over two to three months), fasting glucose, total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol and triglycerides were also noted