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Most of the research in athletes and metabolic patients points to the same idea: when you raise carnitine levels into a therapeutic window and pair it with a structured training program, you can improve fat utilization and delay fatigue

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Malabsorption : Some people may have difficulty absorbing vitamin B12 from the diet due to certain medical conditions or the use of certain medications, such as proton pump inhibitors (PPIs) or H2 blockers, which reduce stomach acid production

therefore, adopting strategies to minimize muscle and bone loss is prudent