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However, variable expressivity and non-penetrance are common, with many relatives carrying the gene mutation having only mild or absent symptomatology

L-carnitine has been found to increase the likelihood of seizures in those who have had seizures previously

In more rare yet severe cases, you may experience: Itching or a feeling of swelling all over the body Muscle cramps and weakness Upset stomach and urinary problems Swelling in the ankles or feet Unusual tiredness Irregular heartbeat or trouble breathing If these side effects occur, consult your healthcare provider before continuing B12/MIC

The Dox breeding trial (Fig