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High TMAO in the blood can cause abnormal blood clots and is a good predictor of heart attack and stroke

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This hormonal shift creates a perfect storm for fat accumulation: Slower metabolic rate (200-300 fewer calories burned daily) Increased visceral fat storage Reduced muscle mass (further slowing metabolism) Impaired fat mobilization from stubborn areas Decreased exercise capacity and recovery This is why the same diet and exercise that worked in your 20s stops working in your 40s and beyond