These people include: Elderly Adults with Atrophic Gastritis People with Pernicious Anemia Vegans & Vegetarians Pregnant & Lactating Women Particularly those who are vegan as well People Taking Certain Medications Prilosec Prevacid Metformin Tagamet Pepcid Zantac Chloromycetin Anticonvulsants More so, vitamin B12 deficiency can lead to vitamin B12 deficiency anemia, which has a range of negative symptoms: Pale or yellow skin Feelings of dizziness No appetite Rapid weight loss Numb or tingling feet Chest pain Rapid heartbeat Weak muscles Mood changes Confusion Forgetfulness More so, a long-term deficiency in vitamin B12 can lead to heart, brain, nerves, bone, and other organ damage
[73] [74] [75] It is synthesized by some bacteria in the gut microbiota in humans and other animals, but it has long been thought that humans cannot absorb this as it is made in the colon, downstream from the small intestine, where the absorption of most nutrients occurs
In addition, levocarnitine buffers excess intramitochondrial acyl-CoA, regenerating free coenzyme A and potentially preventing inhibition of critical metabolic enzymes
What If Research Objectives Change Mid-Protocol