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The presence of severe nonproliferative DR or proliferative DR requires comanagement with retinology and further intervention, including intravitreal injection and/or laser photocoagulation consistent with the clinical standard of care

Ongoing check-ins Frequent virtual visits and messaging help adjust dosage and address questions 4

Absorbed gradually through the digestive system, so it has fewer side effects

Rotating injection sites (abdomen, thigh, or upper arm) and ensuring proper technique can reduce these reactions

When to Use L-Carnitine Many people take L-Carnitine before training sessions, typically 30-60 minutes beforehand