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Tirzepatide can sometimes cause gastrointestinal side effects like nausea or diarrhea, which can lead to dehydration

Early research shows that taking L-carnitine daily decreases some aspects of fatigue in people with multiple sclerosis who also have low L-carnitine levels

Similarly, Rongrong et al

The latter two are often elevated with B12 deficiency (MMA is especially predictive) while emerging evidence suggests that holotranscobalamin better reflects your B12 status than serum levels, says Miller, since it measures how much of the nutrient is actually being delivered to the tissues of your body

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