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138 In a randomized placebo-controlled trial in 147 women with PCOS, L-carnitine in the form of acetyl-L-carnitine (ALC), at a dosage of 500 mg twice daily, was found to add to the benefits of the anti-diabetes medications metformin and pioglitazone (Actos)

User reports mention occasional flu-like symptoms during loading phase, temporary fatigue, head rush or lightheadedness, and minor injection site reactions

doi: 10.1046/j.1467-2494.1998.171747.x 67