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Supplementation aside, you should always aim to get the majority of your nutrients from food sources, but when it comes to vitamin B12, that's definitely easier said than done, especially for those following plant-based diets free of all animal products

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In fact, clinical trials have shown that the administration of carnitine derivatives, such as acetyl-L-carnitine: improved neurophysiological parameters , reduce pain reduced symptoms related to vascular degeneration in diabetic patients