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As always, continue to ask good questions and listen to your patients
ALLERGY TO VITAMIN B12 Allergic reactions could be another reason why you feel worse after B12 injections
Remarkably, plasma concentrations of BB exceeded the concentration of carnitine, TMA or TMAO in the L -carnitine supplemented mice by approximately two-fold, suggesting production of BB was a major gut microbial metabolite produced from L -carnitine (Figure 1B)
However, there was no significant decrease in glycolytic capacity in any treatment groups (Fig 2G)
Pinpointing Absorption Issues: Testing helps us determine if your body is failing to absorb B12 from food due to gut issues, age, or autoimmune conditions like pernicious anemia