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Do not use if you have primary systemic carnitine deficiency or secondary carnitine deficiency (inborn errors of metabolism) for which levocarnitine supplementation is prescribed and/or monitored by a health-care practitioner
Lancet 376 , 431439 (2010)
However, NICE guidance (NG28) recommends self-monitoring when GLP-1 agonists are combined with insulin or sulfonylureas, which increase hypoglycaemia risk
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