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doi: 10.3389/fendo.2018.00584 Received 04 June 2018 Accepted 14 September 2018 Published 11 October 2018 Volume 9 - 2018 Edited by Gary Sweeney, York University, Canada Reviewed by Kyoung-Han Kim, University of Ottawa, Canada
Fast turnover suggests purging
Secondary efficacy measures included changes from baseline in: fast plasma glucose (FPG), postprandial plasma glucose (PPG), area under the curve, insulin, C-peptide, glucagon, insulin/proinsulin ratio, body measurements, and fasting lipid profiles
2018 meta-analysis: Three RCTs examining 13 g/day L-carnitine or ALCAR for 26 months in 201 men aged 2040 with infertility found supplemental carnitine improved sperm motility by 7.84% and morphology by 4.91% but did NOT affect sperm concentration [3][46]
Add an extra 23 grams of fibre per day each week
