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Description
Individuals Taking Certain Medications Some drugs, like metformin or proton pump inhibitors, can interfere with B12 absorption

Gastroenterology 92, 1987
L-Carnitine: 200 mg

Lipotropics are known to aid in the breakdown of fat in the liver, supporting weight management and liver health
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A high B12 that does not fit the patient is a reason to ask whether the result reflects an assay artifact
