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These options are usually best suited for people whose deficiency comes from not getting enough B12 in their diet, a common issue for vegans and vegetarians

The cause of malabsorption needs to be addressed by a health care professional in these cases

Sometimes B12 can also help with canker sores, nerve pain from Shingles, and high levels of homocysteine in the blood

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In such cases, supplemental L-carnitinetypically 1 to 3 grams daily in divided dosescould theoretically maintain optimal mitochondrial function
