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L-Carnitine This lipotropic amino acid is an important part of the enhanced vitamin B12 injections formula

doi: 10.1182/blood-2017-06-740944 3 YongJCaiSZengZ

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This may caused by the loss of gastric parietal cells in chronic atrophic gastritis or may result from wide surgical resection of stomach, or from rare hereditary causes of impaired synthesis of intrinsic factor
