Your healthcare team can assess your individual circumstances, review your diabetes control, and determine whether discontinuation is appropriate or whether alternative management strategies should be implemented first
IV Carnitine Therapy: Support Your Energy, Metabolism, and Wellness Goals at Minnerva Clinic L-Carnitine is a naturally occurring amino acid derivative that plays a crucial role in energy production by transporting fatty acids into your cells' mitochondria, where they can be burned for fuel
B12 deficiencies can lead to skin hyperpigmentation, vitiligo, changes to your hair, nail discolouration, and angular stomatitis (where the corners of your mouth become red and cracked)
Gastrointestinal side effects such as nausea and vomiting typically start within the first few days to weeks after beginning treatment or after increasing the dose but tend to improve over time
Ann Internal Med (2010) 153:14757