For that indication, it is pretty potent and in clinical trials, can reduce the HbA1c by 1-1.5%
Hypoglycemia is a potential adverse effect though this is rare given the glucose-dependent mechanism and is usually seen in patients taking insulin or insulin secretagogues [47]
In the case of hormonal changes, the particular patient situation needs to be assessed and possible dietary changes should be made in accordance with the patients hormonal status (e.g
When levels drop, it may lead to fatigue, reduced immunity, and increased oxidative stress
Interestingly, a large number of women get diagnosed with PCD right after giving birth because their babies have low carnitine levels found during newborn screening
But the direction of inquiry is clear: Weight loss of this magnitude is not structurally neutral