Some supplements that can lower blood sugar may lower it too much if you take them with medication. Other supplements may raise blood sugar. See link below Supplements to Lower Blood Pressure ConsumerLab.com Ameliorating Hypertension and Insulin Resistance in Subjects at Increased Cardiovascular Risk Hypertension Possible metabolism of acetyl l carnitine (ALCAR) after cerebral Download Scientific Diagram Serum L Carnitine Levels Are Associated With First Stroke in Chinese Adults With Hypertension Stroke Acetyl l Carnitine in the Treatment of Peripheral Neuropathies: A Narrative Review Pain and Therapy Springer Nature Link