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Hidalgo J, Flores C, Hidalgo MA, Perez M, Yanez A, Quinones L,

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Gasbarrini, L-carnitine improves glucose disposal in type 2 diabetic patients., in J Am Coll Nutr, vol

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External factors include temperature fluctuations, bright lights, loud noises, and strong odors, while internal triggers encompass anxiety, emotional stress, insomnia, specific foods, and inadequate blood glucose supply (4)