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Once you begin treatment for vitamin B12 deficiency, it can take 6-12 months to recover

A notable, well-known effect is appetite stimulation through ghrelin-receptor activity

Participants enrolled in the study were eligible for analysis in both the intent-to-treat (ITT) and PP analysis, with the exception of three participants in the L-Carnitine group that had completed the study out of window ( n = 1) or had protocol deviations ( n = 2) which excluded them from the PP analysis

Its found in low levels in red meat and leafy greens, but alpha lipoic acid from these food sources does not appear to raise levels in your body