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For people with diabetes who are also taking insulin or sulfonylureas, it's important to discuss with your healthcare provider whether nocturnal hypoglycaemia might be contributing to sleep disturbances

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Excretion and metabolism of propionyl-L-carnitine in the isolated perfused rat kidney [PMID: 9190838] Laboratory literature summary: Excretion and metabolism of propionyl-L-carnitine in the isolated perfused rat kidney

People with epilepsy: certain forms of carnitine can increase the number of seizures