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Although these trials are valuable, they were excluded within the scope of this review because they lacked head-to-head comparison with prandial insulin

New medications currently under development are also showing promise for individuals who have not responded well to existing therapies

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Kidney or liver disease As the kidneys and liver help create and use L-carnitine, disease in these organs or organ failure Doctors may recommend L-carnitine supplementation in these cases to support the function of the kidneys and liver and prevent deficiency

However, avoid excessive cardio that creates unsustainable energy deficits which trigger metabolic compensation

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