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Patel recommends B12 injections as a preventive measure for heart health
The nasal spray is typically reserved for maintaining B12 levels after injections bring particularly low levels back to normal (5)
Injections of B12 work rapidly and are the most effective way to treat a deficiency
LCLT is nearly identical to L-carnitine but is thought to have a more rapid effect, which makes it useful for timing-critical situations, like pre-workout dosing (as such, LCLT is commonly used in carnitine studies involving athletes)
For mild deficiencies or preventative supplementation, oral pills may suffice
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