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If you dont notice any improvement and you were not deficient to begin with, it could mean your vitamin levels were adequate and the injection is simply maintaining that status
Hypoglycaemia can occur with GLP-1 agonists, especially if used alongside sulfonylureas or insulin.3 Diabetics on GLP-1 Agonists can also present with episodes of hyperglycaemia and DKA.3 In such cases, it is important to look beyond the acute management and consider whether problems with regular access to medication is a contributing factor
For L-carnitine deficiencies: Doses of 50 mg/kg of L-carnitine have been given as a slow injection or by infusion followed by 50 mg/kg of L-carnitine in divided doses every 3 to 4 hours over the next 24 hours
