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51 Phytother Res

[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion

Notably, at-home treatment such as B12 injections will depend on the physicians recommendation whether a medical professional should administer the B12 injections or the patient can handle the task themselves after getting the prescription from the doctor or other trained professionals

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