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Three RCTs [3234] involving 204 patients provided low certainty evidence (Table 2) that L-carnitine supplementation may induce or no difference in changes in the -GT levels (MD: 8.88, 95%CI: 25.43 to 7.67) [34]

Pawlak-Osinska K, Kazmierczak H, Marzec M, et al
: , QNT L-CARNITINE LIQUID 500

That situation normal or high serum B12 with elevated MMA is what researchers now call functional B12 deficiency, and it is far more common than most clinicians recognize

26 Topiramate is commonly used for migraines and weight loss
