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Patients with asthma or reactive airway disease should generally not be prescribed non-selective beta-blockers such as propranolol

READ MORE: Supplements: Six different daily pills which you should not take together side effects While B12 deficiency may not always be the culprit (these signs and symptoms can stem from other causes) it is essential that your doctor rules this condition out due to the potential for misdiagnosis. Twitching and spasms are common manifestations of low B12 levels, as are cramping and tingling

Do not use in patients with known hypersensitivity to L-Carnitine

19 and Codella et al