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Nat Genet 16: 265269

PMID: 32251810

In the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) study cohort, cardiovascular autonomic neuropathy (CAN) independently predicted the onset of ED and lower urinary tract symptoms over 17 years of follow-up in men with type 1 DM [10]

"The effects of L-carnitine supplementation on cardiovascular risk factors in participants with impaired glucose tolerance and diabetes: a systematic review and dose-response meta-analysis." Diabetology & Metabolic Syndrome

It is necessary because, without it, our body cannot use the accumulated fats that serve as fuel for normal functioning