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doi: 10.3389/fendo.2021.645566

Weight reduction and reduced adiposity probably contributed significantly, but additional mechanisms may also be involved, such as improved insulin sensitivity, reduced inflammation, reduced aromatization for the adipose tissue, and potentially a restoration or improvement of the hypothalamic-pituitary-gonadal axis," he noted

However, their dosing protocols differ considerably

"L-carnitine treatment of insulin resistance: A systematic review and meta-analysis." National Library of Medicine