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Long-term: 20 C or colder, sealed, desiccated, dark Short-term transit: ambient temperatures are generally tolerated by lyophilized material for short periods, though cold-chain shipping remains preferable Critical habit: allow the vial to reach room temperature before opening

Vidal-Casariego 2013 meta-analysis: Four RCTs with 284 type 2 diabetes patients showed 23 g/day L-carnitine for 1252 weeks reduced fasting glucose, total cholesterol, LDL cholesterol, and apolipoproteins B100 and A1 but NOT triglycerides, lipoprotein(a), or HbA1c [3][43]

The most balanced user reports consistently emphasize that the fundamentals, diet, exercise, protein intake, sleep, hydration, drove the majority of their results, and that the levocarnitine addition felt like a minor enhancement at best

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