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Antibiotics (Chloramphenicol, Neomycin): These medicines may interfere with the response to vitamin B12 therapy in some patients

When the stomach nerves and stomach muscles fail to properly activate, the stomach is not able to properly process food or empty the stomach itself, like it was intended to do

Underactive thyroid (hypothyroidism) : There is a concern that propionyl-L-carnitine might make hypothyroidism worse or thyroid hormone treatment less effective

Obesity, metabolic disorders such as diabetes, and inflammation are major contributors to osteoarthritis progression

Yes, and thats what makes this product so exciting, he says