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It interacts with glucagon receptors, gastric inhibitory peptide receptors, and glucagon-like peptide-1 receptors

High doses might also possibly interfere with levels of other vitamins, enzymes and minerals, which is always a potential problem when taking any nutrient in very large quantities

There are several medical problems that can result in secondary carnitine deficiency, such as liver disease and kidney disease, but it may also be due to poor diet

B12 injections are medically indicated for individuals with a diagnosed B12 deficiency or conditions that impair B12 absorption, such as pernicious anemia, Crohns disease, celiac disease, or a history of gastric bypass surgery