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At a psychological level, a lack of vitamin B12 can lead to listlessness, depressive mood, difficulty concentrating, nervousness, and sleep disorders

While on this regimen, the patients PHQ9 score was an 8 (mild depression)

However, its important to note that while L-Carnitine can support weight loss efforts, it should not be seen as a standalone solution for weight loss

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After one week of levocarnitine therapy (3 doses), all patients had trough concentrations between 54 and 180 mol/L (normal 40-50 mol/L) and concentrations remained relatively stable or increased over the course of the study