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Monitoring during any protocol should include twice-weekly fasting glucose checks and serum IGF-1 every four weeks to confirm that levels remain within two standard deviations of the age-normalised range

So its no surprise that the supplement industry is trying to cash in on the drugs success

Serious limitations in method quality, important inconsistencies, major uncertainty about the directness and applicability of results, imprecise data, and a probability of bias rendered the overall quality of evidence very low (Table 33)

Overall mean compliance in the L-Carnitine-combination group was 97.4%, the L-Carnitine group was 99.2%, and the placebo group was 97.2%