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The Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) tool was used to assess the certainty of the evidence for the two primary biochemical outcomesserum vitamin B12 concentration increase and homocysteine reductionacross all included studies, and separately for randomised controlled trials (RCTs) and observational studies

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Note, Equation (5) is not intended to describe the complete oxidation mechanisms by which hydroquinone auto-oxidates to generate H 2 O 2

You can take L-Carnitine liquid on its own if you prefer, but mixing it with juice or a shake makes it easier to consume daily