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L-carnitine has different benefits related to energy metabolism and muscle function, mainly
Baseline labs should include serum copper, ceruloplasmin, 24-hour urine copper, and a comprehensive metabolic panel
Zordoky BN, Sung MM, Ezekowitz J, Mandal R, Han B, Bjorndahl TC, et al
Karim Z, Szutkowska M, Vernimmen C, et al
For patients who experience a paradoxical decrease in energy levels, it doesnt mean you should stop taking the B12 but instead decrease your dose by half (so take 2,500mcg every 7 days) or simply take 5,000mcg every 14 days instead
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