N-acetylcysteine supplementation did not reverse mitochondrial oxidative stress, apoptosis, and inflammation in the salivary glands of hyperglycemic rats
Thats how you know theres collagen, amino acids and other nutrients in the mix
thus, it was suggested that SGLT-2i therapy may promote ketogenesis by inducing GH ( Conclusions A growing body of evidence indicates that several of the pleiotropic responses elicited by GLP-1RAs and SGLT-2is involve the activation of the GH/IGF-1/IGF-1R system
However, its a complaint you might hear quite often
The choice between them should be based on the GLP-1 agonist comparison, not the levocarnitine addition
Arvat E, Di Vito L, Broglio F, et al