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Elevated homocysteine and methylmalonic acid (MMA) are biomarkers of functional B12 insufficiency

Acknowledgements This study was supported by the Noncommunicable Chronic Diseases-National Science and Technology Major Project (2023ZD0509904 to Z.W., 2023ZD0509900 to Z.W.), National Key Research and Development Program of China (2022YFC2408100 to L.W.), the National Natural Science Foundation of China (82272277 to L.W., 81974382 to Z.W., 82173315 to Z.W., 82302585 to Q.L.), Major Scientific and Technological Innovation Projects of Hubei Province (2022BCA013 to Z.W.), Hubei Province Science and Technology Innovation Team Project No

(L-carnitine can enhance blood-thinning effects and combining the supp with anticoagulants may increase the risk of excessive bleeding.) Take thyroid medications like levothyroxine because L-carnitine may reduce their effectiveness, Walker says