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Mahawar KK, Reid A, Graham Y, Callejas-Diaz L, Parmar C, Carr WR, Jennings N, Singhal R, Small PK

[5] There is essentially no risk of B-induced neuropathy at the doses used here, especially given the limited duration most patients use injectable therapy

The improvement in insulin metabolism parameters is associated with L-carnitine potentially modulating the expression of glycolytic and gluconeogenic enzymes involved in mitochondrial glucose oxidation and facilitating the transport of free fatty acids or their action as acetyl group donors in high-energy metabolism situations

(Many researchers believe this hormonal dysfunction could play a role in the stereotypical midlife crisis)