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[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults

Overdosing can lead to elevated B12 levels and potential side effects, while underdosing may not adequately address symptoms

The policy recognizes that research needs can change and institutions need assurance on product quality and suitability for their specific experimental applications

Some studies indicate people with obesity have low vitamin B12 levels

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