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L-Carnitine is a naturally occurring amino acid derivative involved in normal energy metabolism

Inadequate B12 levels can result in anemia, leading to fatigue and weakness

During the stress phase, myocardial blood flow is increased using: Exercise stress, like testing on a treadmill or bike, while keeping an eye on the patients heart rate with an EKG Pharmacologic stress, employing agents such as Lexiscan (regadenoson) or adenosine At the height of stress, a radiotracer like technetium-99m sestamibi or tetrofosmin is injected