l carnitine cancer and acetyl-L-carnitine as a supplement in Dysfunction of the carnitine cycle

261, 262 Although high rates of efficacy were reported (47 to 64%), given the extremely small combined sample size of fewer than 30 patients, the relatively serious AEs (e.g., new diabetes onset, exacerbation of existing diabetes, pneumonia with septic shock, increased blood pressure), and the known risks of systemic long-term glucorticoid use, risks/burdens clearly outweigh benefits and the Panel recommends that this therapy not be used long-term

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[7] References [edit] 1 2 Int J Vitam Nutr Res

If you have low levels of vitamin B12 your doctor may prescribe hydroxocobalamin, which is given as an injection