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Among common B12 side effects in older people, gastrointestinal issues like nausea or diarrhoea are most likely

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Specific Populations: People with certain health conditions (like kidney failure or liver disease) or those pregnant or breastfeeding should use L-Carnitine cautiously and under medical supervision, as long-term effects in these populations are less understood

Blood 127 , 14811492 (2016)