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Carnitine may also regulate Bax/Bcl-2 signaling [132], AMPK/PGC1 signaling [133], MAPK signaling [134, 135], PI3K/Akt signaling [136] and other signaling pathways to play a protective role in the heart

Griffiths RR, Johnson MW, Carducci MA, Umbricht A, Richards WA, Richards BD, et al

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Medication Use Certain medications, such as proton pump inhibitors (PPIs) for acid reflux or metformin for diabetes, can interfere with B12 absorption

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