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Therefore, it can be said that L-carnitine should be consumed at a dose of more than 2 g/day for more than 12 weeks and often in individuals with obesity to have significant effects on insulin and HOMA-IR levels

A local study on the effects of L-carnitine supplement on serum lipid profiles in Libyan type 2 diabetic patients

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I don't think it's a lack of B12 for me now as I had been SI weekly but I won't rule it out