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Despite evidence indicating incr levels of free carnitine and carnitine metabolites in the blood and urine following an oral dose, no significant change in RBC carnitine levels was noted in healthy subjects, suggesting either a slow repletion of tissue stores of carnitine following an oral dose or a low capability to transport carnitine into tissues under normal conditions

When B12 levels have been chronically low, your body adapts to functioning with deficiency

10.1097/HRP.0000000000000167 61 MillerM