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Doctors usually prescribe B12 shots for genuine deficiencies like pernicious anemia or malabsorption disorders

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Key red flags include pregnancy (no safety data, so contraindicated), active cancer (caution due to growth effects), autoimmune disorders, or organ failure

Carnitine can also be obtained from dietary sources like red meat (best source), fish, poultry, and milk (Pekala 2011)

There was a vigorous debate about the lack of safety and efficacy

The risk of developing serotonin syndrome is increased in patients taking MAOIs combined with a second MAOI or SSRI, SNRI, or TCA.1 Serotonin syndrome may rarely occur in patients on high-dose monotherapy of a serotonergic agent