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2017 meta-analysis: Five RCTs in 631 adults with insulin resistance showed that 23 g/day L-carnitine for 4 weeks to 12 months improved insulin resistance, with benefits at 12 months exceeding those at 3 months [3][42]

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Scientific References Role of endogenous incretin hormones, GLP-1 and GIP, in cardiovascular physiology

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If injected in high doses, it can put stress on the kidneys or lead to toxic buildup in the body, leading to serious health concerns and even death

This is why dosing 1-2 hours before a meal is optimal