can l carnitine cause heart attack Deficiency: What Is It, Causes, Symptoms, and More Efficacy and Safety of L-Carnitine
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33 , 34 In a meta-analysis by Wang and colleagues, a combination of GLP-1 RA and insulin therapy leads to a small but significantly more significant reduction in HbA1c than traditional treatment (0.21 [0.40 to 0.02])

No side effects except fatigue for the first week or so

Endocrinology, 146(7), 30523058

[DOI] [PMC free article] [PubMed] [Google Scholar] 106.Reinicke KE, Bey EA, Bentle MS, Pink JJ, Ingalls ST, Hoppel CL, et al

PMID 10360940
