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Vegetarians and vegans : Since B12 is primarily found in animal products, individuals who follow plant-based diets may need B12 supplementation

A randomized controlled trial in 162 women with PCOS-related infertility being treated unsuccessfully with the fertility drug clomiphene citrate (Serophene, Clomid) compared the effects of adding NAC or L-carnitine to treatment for three months

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It's not a new ingredient, it has been used both as a food and cosmetics additive since the 1970s