Armendriz-Barragn B, Zafar N, Badri W, Galindo-Rodrguez SA, Kabbaj D, Fessi H, et al
L-carnitine, which is a physiological molecule involved in lipid metabolism, has been shown to mitigate the dysregulation of an aging immune system 1
These guidelines, however, do not give a preference regarding which of the second-line agentswhich also include sulfonylureas (SU), dipeptidyl peptidase-4 inhibitors (DPP-IV), sodium-glucose cotransporter 2 inhibitors (SGLT-2i), insulin, thiazolidinediones (TZD) and acarboseshould be added to optimised metformin [13, 14]
Medical supervision matters
10.1034/j.1399-5618.1999.010204.x 79 HannunY
If you won't be reading the details, at least stop defaulting to restriction