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Side effects may include nausea, vomiting, diarrhea, constipation, and abdominal pain

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Enhanced oxidative capacity may involve increased mitochondrial fatty acid uptake via carnitine palmitoyltransferase-1 (CPT-1), enhanced beta-oxidation enzyme expression, and modulation of uncoupling protein expression

While ruminants can synthesize B 12 via gut bacteria if soil cobalt levels are adequate, monogastric animals like swine and poultry require direct supplementation through fortified feed to maintain health and growth rates in intensive farming environments

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Upper body strength work maintains overall conditioning