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Diabetic peripheral neuropathy Peripheral nerve dysfunction occurs in about 50% of people with diabetes mellitus, and chronic neuropathic pain is present in about one-third of people with diabetic peripheral neuropathy (85)

Evidence from larger scale clinical trials is still needed to determine whether L-carnitine and ALCAR could play a role in the treatment of male infertility

Role of free L-carnitine and acetyl-L-carnitine in post-gonadal maturation of mammalian spermatozoa

While carnitine is generally safe, some research suggests it may be pro-atherogenic, but additional long-term trials assessing its effects on the cardiovascular system are necessary.

In contract, overt hepatic encephalopathy can present with disorientation, obvious personality change, inappropriate behavior, somnolence, stupor, confusion, and coma (106)