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You may be at higher risk if you: Follow a vegan or vegetarian diet Eat very little meat, fish, eggs, or dairy Are over the age of 50 Have digestive conditions affecting absorption Take certain medications, such as metformin or acid-reducing medicines Have had certain stomach or bowel surgery Have pernicious anaemia or absorption problems People in higher-risk groups may benefit from advice, testing, or treatment depending on their symptoms and medical history
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Nevertheless, the observations are interesting and have been subsequently followed up by a study that showed 12 weeks of daily carnitine and carbohydrate feeding in humans increases skeletal muscle total carnitine content and prevents body mass accrual associated with carbohydrate feeding alone (3)