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Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

The authors speculate that this selectivity may come from the antibodies unique shapes and sequences

doi: 10.5534/wjmh.190055 64 AgarwalAChoC-LEstevesSCMajzoubA

5) Can I combine L-carnitine with caffeine or pre-workout

Since May 2023, the watchdog has seized more than 4,700 vials of unlicensed product