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S2CID 6471940

While several cardiovascular and renal outcome studies have been reported since publication of the 2018 ACC decision pathway, the document remains useful in terms of providing patient-specific considerations when determining which class of medications to select in a person with T2D

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JAMA 2004;291:1487-1495

You can take L-carnitine at any time of day, but Zenker recommends taking it on an empty stomach or before meals for maximum benefit and absorption