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Definitely has improved my skin and healing which I expect translates to improvements I cant see

That's looking more like 1

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Out of 41 RCTs, 39 studies have shown a significant lowering effect of L-carnitine supplementation on FBG (mg/dl) (69, 7180), 19 studies on serum insulin (pmol/l) (51, 5355, 57, 59, 61, 63, 68, 7176, 80), 20 studies on serum HbA1c (%) (5355, 57, 58, 61, 63, 66, 67, 71, 74, 77, 79, 80), and 17 studies on HOMA-IR (50, 5457, 59, 61, 63, 68, 7073, 75)

Key advantages include: Professional medical assessment Individualized treatment planning Clinical supervision Compliance with local healthcare regulations Emergency support if needed Medical consultation should always be completed before undergoing injectable treatments

Lancet Diabetes Endocrinol 2019;7:77685