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Similarly, testosterone levels significantly declined in the BPA 100 (2.150 0.61 ng/ml) and BPA 300 (1.030 0.09 ng/ml) groups, confirming the androgenic toxicity of BPA

Patients on antidiabetic medications, including insulin, should also be cautious, as L-Carnitine may improve insulin sensitivity and glucose metabolism, potentially requiring adjustments in antidiabetic medication dosages

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This means tracking both disease-specific markers (complement levels, anti-dsDNA titers, inflammatory markers, urine protein) and general health parameters