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Proton pump inhibitors and similar medications that lower stomach acid might decrease the absorption of vitamin B12 from food, but this is less of a concern when receiving B12 injections because they bypass the digestive system entirely

L-Carnitine: A substance produced by the liver and kidneys which convert body fat into energy

Those with stubborn fat

Heres why: Ongoing Absorption Issues: Many people have conditions that impair their ability to absorb B12 from food or oral supplements, such as pernicious anemia or gastrointestinal disorders

Any discomfort is brief and typically fades within moments

Elevated GH can affect insulin sensitivity, so this is worth tracking for patients with any metabolic history