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Dietary records Subjects were instructed to maintain their normal diet during the study period and to complete food records to allow for nutrient intake assessment for the seven days prior to each testing session

If symptoms point to a broader metabolic or neuromuscular issue, doctors may investigate related causes rather than focusing on supplements alone

The results of the present study provide evidence that L-carnitine supplementation in pregnancy in sufficient doses avoids a striking increase of plasma FFAs, which are thought to be the main cause of insulin resistance and consequently gestational diabetes mellitus (GDM)

This deficiency restricts tissue uptake, leading to decreased accumulation in the heart and skeletal muscle and potentiates increased renal carnitine loss [21, 22] leading to systemic carnitine depletion [23]

Ku et al