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All authors approved the final version of the manuscript to be published

While this interaction primarily affects dietary B12 absorption rather than injected cyanocobalamin, patients on long-term acid suppression therapy may have depleted B12 stores that require consideration when initiating treatment

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Indeed, by promoting the transport of long-chain fatty acids into mitochondria, it reduces the availability of intracellular lipids required for sebum synthesis in sebaceous glands

Additionally, L-carnitine exhibits antioxidant properties, which help to shield cells from oxidative stress and damage
