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PMID: 31527485

The human body can naturally produce sufficient L-carnitine, and it is available through dietary sources, such as red meat and dairy products [2]

Injections bypass the gut and deliver B12 directly into circulation, making them particularly effective in these cases

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Moreover, -ketoglutarate generated from glutamine catabolism within the cell can also enter the TCA cycle to produce succinate, which is subsequently converted back to fumarate by SDH