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Name: acetyl-l-carnitine rich foods NOW 500 mg 200 Vcaps 4 Benefits of L-Carnitine for
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Sun H, Li A, Hou T, Tao X, Chen M, Wu C, et al

10.1186/s12916-016-0595-5 151 PeetsE

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Our data, consistent with the literature [32], show that chronic duration of therapy, higher cumulative metformin dose and concomitant PPI therapy (Table 1) increase the risk of vitamin B 12 deficiency

This may elevate the risk of developing metabolic syndrome or type 2 diabetes , especially with prolonged or excessive use (Schafer et al., 2002, Trends in Endocrinology & Metabolism )