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This is particularly problematic for older adults, as it can lead to sarcopenia, reduced strength, impaired mobility, and increased risk of falls and fractures
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Use with caution to the patient who is having adrenal insufficiency, autonomic neuropathy and receiving beta-adrenergic blocking agent Vitamin B12 deficiency Prolonged use of metformin can interfere in the absorption of vitamin b12 in the stomach
Allergic reactions : Although rare, some people can develop an allergic reaction to L-carnitine, as to almost any food
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