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In a second randomized study, berberine resulted in reduced free testosterone, HOMA-IR, and increased sex-hormone binding globulin (SHBG) comparable to metformin [9]
Costs, supply shortages, and lack of insurance coverage further limit accessibility in India and globally
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Because about 90% of oral L-carnitine supplements is unlikely to be absorbed, one could ask whether the efficacy is equivalent between protocols using both intravenous and oral administration and those using oral administration only (8)
References 1 AamerM.MuhammadU.LiZ.AbidA.SuQ.LiuY.et al (2018)
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