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Nine different substances were declared or identified as undeclared PCT drugs in the samples and, in order of occurrence frequency, they were clomiphene, hCG, tamoxifen, exemestane, anastrozole, cabergoline, letrozole, mesterolone, and raloxifene (Figure 9)

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This framework helps distinguish whether an individual has actual nutrient insufficiency, mitochondrial stress, or metabolic dysfunction that might benefit from component-level support versus lifestyle intervention alone