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After 12 weeks across the entire set of subjects, mental fatigue showed a statistically significant decrease, with a 13.4% decrease in the L-carnitine group (4.5 to 3.9) compared to a 9.5% increase in the placebo group (4.2 to 4.6, p 0.05)

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When they do trigger symptoms, they can include steady, severe upper abdominal pain, pain between your shoulder blades or in your right shoulder, nausea, vomiting, fever, chills, or jaundice (yellow skin or eyes)

Hormonal changes may further compound the challenge

This makes them ideal for individuals with trouble absorbing Vitamin B12 orally, such as those with gastrointestinal issues like Crohns disease or pernicious anemia

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