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Several studies have highlighted the association between depression and poor adherence to medication and dietary regimens in individuals with T2DM [128, 134, 135]

and C.L., interpreted data, created the tables and figures, and wrote and reviewed the manuscript

In an article by the NCBI on the role of carnitine in disease, the NCBI stated that: Nutritional supplementation of L-carnitine can enhance nerve conduction and reduce neuropathic pain in diabetic patients and can save the lives of patients with primary carnitine deficiency

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This study was supported by the National Natural Science Foundation of China (grant numbers 81573337) and the Jiangsu Province natural science Foundation project(BK20171319) and Taizhou Science and technology support plan (social development) project(SSF20230019)