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Postgrad Med J (2003) 79(930):21820.10.1136/pmj.79.930.218 14 AndresEHenoun LoukiliNNoelEMaloiselFVinzioSKaltenbachGet alEffects of oral crystalline cyanocobalamin 1000 mug/d in the treatment of pernicious anemia: an open-label, prospective study in ten patients

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[26] Brett M

Because the heart relies almost exclusively on fatty acid oxidation for its massive energy needs, carnitine supplementation also provides vital cardiovascular and autonomic support, which is particularly relevant for patients managing the complex symptoms of Postural Orthostatic Tachycardia Syndrome (POTS): Cardiovascular Strain: By ensuring a steady supply of long-chain fatty acids to the cardiac mitochondria, L-carnitine supports healthy heart muscle function and improves the heart's ability to pump efficiently under stress