l carnitine tartrate or acetyl L-Carnitine vs L-Carnitine - Things we need to know! Is L-Carnitine Safe? | Watch

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Pediatrics 120, 13261333

Vitamin B12 deficiency results in megaloblastic anemia, GI lesions, and neurologic damage (which begins with an inability to produce myelin and is followed by gradual degeneration of the axon and nerve head)

Your nerves are unable to function normally when the sheath is compromised

Furthermore, the secular trends of causes of mortality in patients with diabetes shows an increase for neurodegenerative causes (e.g., dementia) and liver diseases [65]