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If you frequently miss doses, you can have more ups and downs in blood sugar, which can lead to symptoms like fatigue, dizziness, nausea, and GI side effects like constipation or diarrhea when getting on and off the drug repeatedly, rather than keeping it in a steady state, Dr

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Therefore, if you follow a predominantly plant-based diet, supplementation with L-carnitine is recommended, especially for those who regularly engage in active exercise

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Its about adjustment