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Enhanced muscle and fat metabolism support *In studies, l-carnitine has demonstrated the ability to promote oxygenation of heart muscle, support cardiovascular energy, enhance endurance training, and maintain healthy lipid metabolism

Treatment and Management Options Management of elevated B12 levels focuses primarily on identifying and treating the underlying cause rather than lowering B12 itself

Encourage over-the-counter pain relief: If your patient is experiencing significant discomfort from the injection site reaction, suggest taking an over-the-counter pain reliever such as acetaminophen or ibuprofen as directed by their healthcare provider

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Out of these, Thiamine HCl is the water soluble, easily accessible and commonly used vitamin supplement available with the trade name Benerva