Plasma carnitine levels vary with age, typically increasing until approximately 70 years before declining in parallel with reduced muscle mass and metabolic capacity
doi: 10.1186/s13075-016-1129-4 287 XuDJiangYYangLHouXWangJGuWet al
Over the following weeks most people notice better skin hydration and texture first, plus subtle sleep and energy gains from Epitalon (weeks 13), then visibly firmer, smoother, more even skin (weeks 36), then deeper rejuvenation, elasticity, sometimes thicker hair and nails, with telomere support well established (weeks 612+)
The potential ability to treat patients for less time would help ease strain on stretched health systems that must infuse the medicine, and make supplies of the drug last longer
Your doctor's office will typically handle this process, submitting the necessary paperwork to ensure coverage is secured before the prescription is filled