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Optimising Levels: In cases where B12 levels, despite injections, arent quite reaching the optimal range, a GP might suggest adding a daily oral supplement to top up levels, especially if theres some residual capacity for passive absorption

Also, 1 gram of L-carnitine has been given by IV three times weekly after each dialysis session together with 100 mg of coenzyme Q10 taken by mouth daily for 3 months

doi: 10.1016/j.livprodsci.2005.10.009 49 GrauletB.RichardC.RobertJ

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