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It is a peptide, which is a sequence of 15 amino acids

Supports Cognitive Health: Coenzyme Q10 and L-Carnitine may support brain health by improving energy utilisation in brain cells and protecting neurons from oxidative damage

Patients on antidiabetic medications, including insulin, should also be cautious, as L-Carnitine may improve insulin sensitivity and glucose metabolism, potentially requiring adjustments in antidiabetic medication dosages

The suggested approach in that row is to consider an intravenous formulation or an alternative agent, in consultation with the prescriber rather than by patient decision

Some of the side-effects may be rare but serious

Meaning the absorption of B-12 depends on a protein produced in your stomach called intrinsic factor