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Hyperglycemia may directly cause oxidative stress in all retinal cells or contribute to oxygen deficits in the inner retinal layers due to the retinas high metabolic activity, making it prone to oxidative stress

Case studies reveal that individuals using this treatment have reported a notable reduction in their insulin requirements, with many able to decrease or eliminate their daily doses

And don't dump it all into one meal

See examples of related research such as a pilot study on L-carnitine supplementation (PMC pilot study), work on TMAO changes after L-carnitine cessation (MDPI TMAO study), and microbial carnitine metabolism findings (PNAS microbial transformation paper)