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Chronic kidney disease and risk management: standards of care in diabetes
doi: 10.1056/NEJMoa1607141 19 GersteinHCColhounHMDagenaisGRDiazRLakshmananMPaisPet al
Rebouche CJ, Chenard CA (1991) Metabolic fate of dietary carnitine in human adults: identification and quantification of urinary and fecal metabolites
But to answer your question directly, the concern about getting medication without seeing a clinician or having more comprehensive care is: one, the medication is not teaching you anything about healthy living, how to be physically active, which is also important
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