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No effective biomarkers have been found for BD, making accurate diagnosis difficult in clinical practice ( A cross-sectional study found that outpatients had higher total carnitine levels in serum than acutely hospitalized schizophrenia and BD patients, but there was no significant difference in total and free carnitine levels of patients with schizophrenia or BD

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The drug reduces hepatic glucose production, enhances glucose uptake in the peripheral tissues and increases insulin sensitivity 115