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88 What a great boost for my weight loss journey

Furthermore, human studies showed that exercise increased MOTS-c levels in skeletal muscle and blood circulation, indicating that MOTS-c is a mitochondrial-derived peptide induced by skeletal muscle exercise (9, 10)

Nature Chemical Biology 9(5):300-306

And some people may have low levels despite having no symptoms

Of course, you can also consider using a non-hormonal option, like the copper IUD or condoms, if you dont want to worry about drug interactions (condoms are also the only method that protects against STIs)