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doi: 10.1212/01.wnl.0000238163.71349.78 24 ElahyM.JackamanC.MamoJ
L-carnitine is a quaternary ammonium compound synthesized by the human body from the amino acids lysine and methionine
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It also prevents the body from releasing too much glucagon, a hormone that increases blood sugar levels
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That means we need to be a little more thoughtful about our approach with initiating and titrating these medications in patients with poorly controlled diabetes
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