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This process markedly reduces urinary carnitine loss and is essential for maintaining systemic free carnitine homeostasis and supporting fatty acid -oxidation in high-energy-demand tissues such as the heart and skeletal muscle [95]

Journal of Metabolic Research , 45(3), 217225

Summary: Diarrhoea is an uncommon side effect of vitamin B12 supplementation, occurring rarely and more often related to supplement formulation or excipients than the vitamin itself

The first thing to point out is that dietary manipulation to boost these nutrients is not an option