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L-Carnitine, with its fat-burning boost, has a slight edge, especially for active folks, but its still no substitute for the real MVPs: a balanced diet and regular exercise
Consider initial therapy at this stage when blood glucose 300 to 350 mg/dL (16.7 to 19.4 mmol/L) and/or HbA1C 10%-12% (86 to 108 mmol/mol), especially if the patient is symptomatic or if catabolic features (eg, weight loss, ketosis) are present, in which case basal insulin + mealtime insulin is the preferred initial regimen
Its commonly used to address symptoms like fatigue, jet lag, hangovers, and even immune deficiencies
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