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doi: 10.1152/physrev.00031.2024

Never assume

Continuous Update Project (CUP)

A patient with impaired absorption can maintain a borderline-normal serum level for a long time while their cellular B12 is progressively inadequate

oral and topical absorption is much lower and less consistent

While outright deficiency is rare, especially in healthy individuals who consume a varied diet, certain signs can indicate low levels of L-Carnitine, such as muscle weakness, fatigue, or difficulty in achieving peak physical performance