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[13] Further research over the last decade has shed new light on the importance of L-carnitine as a regulator of skeletal muscle fuel selection, which means it is needed to determine whether muscle tissue utilizes carbohydrates or fat for energy

Results will likely be slower and less dramatic than injectable protocols, but meaningful improvement remains possible

Vitamin B12 injections are typically used to treat a deficiency in people who are unable to absorb adequate amounts of B12

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doi: 10.1007/s40122-017-0092-3

[27] Additionally, anyone with Lebers hereditary optic neuropathy (a rare inherited eye disease) must avoid cyanocobalamin injections, since B can precipitate rapid worsening of that condition