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Anne Porto Dalla Costa et al

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Acta Paediatr Jpn 40:2629 van Es A, Henny FC, Kooistra MP et al (1992) Amelioration of cardiac function by L-carnitine administration in patients on haemodialysis

This is a normal physiological response to caloric deficit and increased fat metabolism

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Symptoms of a lack of vitamin B12 are tiredness, lack of energy, focus, and memory or cognitive function impairment all common symptoms also associated with busy, stressful, and hectic lives