however, risks should be discussed with a licensed provider
Common symptoms can include: Extreme fatigue Lethargy Loss of appetite headaches Feeling faint or dizzy Breathlessness Headaches Heart palpitations Tinnitus Additional symptoms of B12 deficiency can include psychological problems such as low mood, irritability, depression, cognitive changes, or blurred memory
Are tirzepatide and semaglutide programs available through telehealth
No Fine Print
If not, here is the ingredients: ricinus communis (castor) seed oil, butyrospermum parkii (shea butter), helianthus annuus (sunflower) seed oil, hydrogenated polyisobutene, glycerin, bis-diglyceryl polyacyladipate-2, copernicia cerifera cera/copernicia cerifera (carnauba) wax/cire de carnauba, olea europaea (olive) fruit oil, aroma/flavor, cera alba/beeswax/cire dabeille, candelilla cera/euphorbia cerifera (candelilla) wax/cire de candelilla, c18-38 alkyl hydroxystearoyl stearate, hydrogenated castor oil, octyldodecanol, c12-16 alcohols, irvingia gabonensis kernel butter, dipalmitoyl hydroxyproline, hydrogenated coco-glycerides, tocopheryl acetate, beta vulgaris/beta vulgaris (beet) root extract/extrait de racine de betterave, melia azadirachta leaf extract, palmitic acid, retinyl palmitate, eclipta prostrata extract, moringa pterygosperma seed oil, hydrogenated lecithin, tocopherol, aqua/water/eau, benzyl benzoate, limonene, phenoxyethanol

It is also important to consider the fact that the bioavailability of L-carnitine and acylcarnitine derivatives administered orally is low (~10-20%) (see Metabolism and Bioavailability)