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276 By contrast, Fagher et al 308 found no subjective improvement in fatigue in 14 patients treated with L-carnitine for 6 weeks

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In four of them, compared with the placebo group, a significant decrease in glucose levels was observed after L-carnitine administration.[ , , , ] Moreover, six studies indicated a contrast reporting no significant change in glucose levels compared with the placebo group.[ , , , , , , ] Also, one paper indicated no statistically notable change in PPG and FPI in comparison to the placebo group after 6 months.[] Moreover, all of the eight studies that evaluated the HbA1C level showed that it did not have any significant change after the intervention when compared with the placebo group.[ , , , , , , , , ] Therefore, according to our results, supplementation of L-carnitine does not have any short-term or long-term effects on glycemic control