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But I would not be opposed and I would not be, I mean, I'm not saying either way, I will just have to wait and see how I feel

The improvement in insulin metabolism parameters is associated with L-carnitine potentially modulating the expression of glycolytic and gluconeogenic enzymes involved in mitochondrial glucose oxidation and facilitating the transport of free fatty acids or their action as acetyl group donors in high-energy metabolism situations

Combined use demands regular monitoring of liver function, lipase, and blood glucose, especially in patients with history of pancreatitis, personal/family thyroid cancer, or unstable renal function