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If you lack vitamin B12 you could suffer from vitamin B12 anaemia when your red blood cells arent able to carry oxygen around your body properly

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[17] Meta-analyses of L-carnitine-the formulations primary shuttle for long-chain fatty acids-show modest but statistically significant reductions in body weight and body-mass index in adults with overweight or obesity

This shortage has direct effects on the current production of healthy RBCs, thus resulting in anemia