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Three factors drive price: vial size, vendor markup, and whether the COA confirms both the cyclic structure (mass spec) and 98%+ purity (HPLC)
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A study out of Rome published in the Journal of the American College of Nutrition showed that infusing people who had diabetes with L-carnitine improved insulin sensitivity and increased the uptake of sugar from the bloodstream
Adding more context on the safety and efficacy limits of compounded products would round this out
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