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The magnitude of HbA1c reduction, rather than the medication itself, appeared to be the critical factor

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A 2023 review concluded that L-carnitine supplementation may reduce fasting blood sugar and hemoglobin A1c, while also improving insulin sensitivity in people with diabetes, overweight, or obesity

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10.1021/acsomega.9b02236 68 GaoZ.XuZ.HungM.-S.LinY.-C.WangT.GongM.et al (2009)