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In cases of severe deficiency or pernicious anemia, injections may be given daily or weekly initially, followed by maintenance doses every month

Current published research most commonly discusses gastrointestinal events such as nausea, diarrhoea, vomiting and constipation

In summary, complex interactions between diet, genetics and the microbiota may impact on processing of oral l-carnitine into pro-atherogenic metabolites such as TMAO that regulate lipid metabolism

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