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At the cellular level, vitamin B12 is involved in DNA synthesis and neuroprotection, acting as a cofactor for enzymes critical to these processes, such as methionine synthase and methylmalonyl-CoA mutase (20, 27)

Effect of propionyl-L-carnitine on exercise performance in peripheral arterial disease [PMID: 11528327] Laboratory literature summary: Effect of propionyl-L-carnitine on exercise performance in peripheral arterial disease

Karp DR, Shimooku K, Lipsky PE

Common Side Effects Many patients report mild to moderate symptoms when they first start or when they increase their dose

Dokken BB, Hilwig WR, Teachey MK, Panchal RA, Hubner K, Allen D, Rogers DC, Kern KB: Glucagon-like peptide-1 (GLP-1) attenuates post-resuscitation myocardial microcirculatory dysfunction

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