People taking metformin, the common diabetes drug, are known to develop B12 deficiency as well, and people who avoid animal products can be deficient
Various studies have shown that supplementation with L-carnitine can offer a range of benefits which would support athletic activity, including improved stamina, better oxygenation of muscles and decreased recovery times between exertion 2,3
But if you're eating like clean protein without fermenting foods along with it, I mean, I just digest it really well
J World Aquaculture Soc 40:266273
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Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non-specific** or Specific Symptom of B 12 Deficiency TOP Management Treatment In suspected B 12 deficiency, supplement both B 12 and folate