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Speak to your GP or diabetes specialist, who will review your treatment plan and make any necessary adjustments based on your individual circumstances and current NICE guidance

They may also ask about other medications you are taking

If early-phase trials show promise, pivotal phase 3 studies could begin within the next few years, potentially leading to regulatory submissions later in the decade

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L-carnitine should be utilized alongside diligent symptom tracking, aggressive radical rest, and strict pacing protocols to avoid pushing beyond your fragile energy envelope and triggering post-exertional malaise

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