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There are two RCTs [32, 33] in which the intervention is carnitine-orotate complex, although we only counted the daily dose of L-carnitine, it is possible that other ingredients in the carnitine-orotate complex may have an impact on efficacy and safety

At the highest dose (3/6/9/12 mg escalation scheme), mean HbA1c was reduced by up to 1.6% and weight by nearly 9 kg, which was significantly greater than placebo

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Each injection is 1,000mcg and they are $25 each

A blood test is the most reliable way to confirm whether B12 deficiency is a contributing factor