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some case reports suggest a possible interaction that may affect anticoagulant activity, and closer INR monitoring may be warranted if use is considered appropriate L-carnitine supplements are not a substitute for a balanced diet or structured physical activity

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Patients with increased glycaemic variability may present with poor diabetic control due to the occurrence of frequent hyperglycaemia, whereas most of the hypoglycaemic events are associated with no clinical signs and are often undetected