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When carnitine levels drop, the body loses its ability to efficiently utilize fat stores for energy, forcing it to rely on less efficient metabolic pathways that generate toxic byproducts and contribute to systemic fatigue

A home exercise program will be established and the physical and occupational therapists will help coordinate other providers on the treatment team

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It forms adducts with various cellular components

This Primer describes the current knowledge surrounding B12 deficiency, and highlights improvements in diagnostic methods as well as shifting concepts about the prevalence, causes and manifestations of B12 deficiency