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Physicians report major concerns about patient education, unrealistic expectations, rising healthcare costs, supply issues for diabetes patients, and widening health inequities

Include iron-rich foods like lean meat, spinach, or legumes, and B12 sources like eggs or fish

More serious but rare risks include pancreatitis, gallbladder disease, diabetic retinopathy complications, acute kidney injury from volume depletion, hypersensitivity reactions (including anaphylaxis), and potential thyroid C-cell tumors (based on rodent studies)

Attention needs to be drawn to the increase of C3 and C4 after 8-week treatment (two short-chain acyl-carnitines) due to the possibility of their involvement in different metabolic pathways compared to the other carnitines