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The STEP trials enrolled non-diabetic participants with normal fasting glucose and HbA1c, and rates of clinically significant hypoglycemia were extremely low [1]

Ann Pharmacother

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As L-carnitine levels do not significantly influence OCTN2 expression, renal filtration maintains a narrow plasma concentration range of 4060 mol/l with plasma L-carnitine above this threshold being eliminated via urine [8]

At the clinic, a number of patients tested positive for alcohol consumption, sometimes in concerning amounts