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It is often prescribed for individuals with pernicious anemia or other conditions that impair B absorption (for example, after gastric surgery or in certain digestive disorders)
A systematic review published in the Cochrane Database found some evidence supporting antioxidant supplementation for male subfertility, though improvements in semen parameters do not necessarily translate to increased live birth rates
Dahl, D
PMID 18991959
A 2025 survey of endocrinologists and obesity medicine specialists revealed that 34% now regularly recommend nutritional supplements to enhance GLP-1 therapy outcomes, with L-carnitine among the most commonly suggested agents
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