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For the BMJ authors, the clinical picture is the most important factor in determining whether someone has B12 deficiency

Ilic et al., 2011b), BPC 157 (with nab2) may be a particular feedback-controlling mechanism

The reason for the greater increase in our study is presumably that excessive L-carnitine is excreted into the urine in mice, while in the medaka model, the compound was dissolved in the water in the tank, which allowed medakas to maintain higher L-carnitine levels