When the body is in a state of hypoxia, infection, intense exercise, etc, and the cells demand for ATP increases, pyruvate and NADH tends to be directly catalyzed by lactate dehydrogenase (LDH) to produce lactate, rather than entering the mitochondria to participate in the tricarboxylic acid cycle (TCA)
This involves a low glycemic index diet, exercise, therapies that help reduce excess androgens and estrogens, targeting insulin resistance and antioxidant status, acupuncture/electoacupuncture, and improving the luteal phase (progesterone balance)
And they go into this metabolic stasis, they're not eating as much or moving
Few companies in this guide offer as many delivery interval options
I would rather see someone exercise and eat nutritiously in order to get an energy boost.
Your dose may need to be adjusted, substituted with another drug, or discontinue using the drug