The authors further note that while there is an abundance of literature on L-Carnitine as a therapeutic agent, there are relatively few publications on the effects of D-Carnitine and that it may, in fact, be toxic due to the inhibition of L-Carnitine
McCord JM (1993) Human disease, free radicals, and the oxidant/antioxidant balance
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Two or more oral or non-insulin injectable agents, in maximum tolerated doses, do not achieve the glucose-lowering targets
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