Neither creatine nor carnitine have been shown to affect sleep, although some studies suggest that creatine can help maintain mental performance after inadequate rest
Of note, in the recent consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD), the use of GLP-1RAs with proven cardiovascular benefits should be preferred for patients with type 2 diabetes who have established atherosclerotic cardiovascular disease or indicators of high risk
Supportive steps include: steady rather than rapid weight loss, adequate hydration, gentle vulvar care, vaginal moisturizers, lubricants for sex, breathable underwear, and pelvic floor exercises
Now, if your research protocol calls for a 250mcg dose, you would simply divide your target dose by the concentration per unit: 250 mcg / 25 mcg/unit = 10 units