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Acta Physiol Scand (1996) 157(3):3557.10.1046/j.1365-201X.1996.42256000.x 188 ArakawaMMitaTAzumaKEbatoCGotoHNomiyamaTet alInhibition of monocyte adhesion to endothelial cells and attenuation of atherosclerotic lesion by a glucagon-like peptide-1 receptor agonist, exendin-4

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The body typically produces sufficient L-carnitine for everyday metabolic needs, and additional amounts can be obtained through dietary sources, particularly red meat, poultry, fish, and dairy products

You may also be more likely to develop vitamin B-12 deficiency if you have: Atrophic gastritis, in which your stomach lining has thinned Pernicious anaemia, which makes it hard for your body to absorb vitamin B12 Conditions that affect your small intestine, such as Crohns disease, celiac disease, bacterial growth, or a parasite Immune system disorders, such as Graves disease or lupus Been taking certain medications that interfere with the absorption of B12