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and they do not alone reliably indicate delayed gastric emptying or gastroparesis. The manufacturer claims that gastroparesis is misdiagnosed as much as 80% of the time without objective testing

Naing S, Ramesh G, Garcha J, Poliyedath A, Khandelwal S, Mills PK

However, it is always a good idea to speak with a healthcare professional before starting any new supplement regimen, as L-carnitine may interact with certain medications and may not be appropriate for everyone

Nevertheless, the fact that DPP-4 is a key player in the clearance of both endogenous peptides has been exploited pharmacologically and, as mentioned above, DPP-4 inhibitors are now an established therapy of T2DM