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In addition, oral supplementation with acetyl-l-carnitine at a daily dose of 3000 mg is listed in the table of neuropathic pain treatment amongst tier 1 agents included in the Mayo Clinic guidelines on peripheral neuropathies [10]
(L-carnitine can enhance blood-thinning effects and combining the supp with anticoagulants may increase the risk of excessive bleeding.) Take thyroid medications like levothyroxine because L-carnitine may reduce their effectiveness, Walker says
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pmid:19897177 10
Conversely, if you are a vegetarian or vegan, you might need to rely more on B12 shots or supplements to maintain adequate B12 levels
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