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It might arise due to a specific health condition, like chronic, late-stage kidney disease, or because of certain factors that impact carnitine metabolism, like the use of some types of antibiotics

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Because B12 symptoms can look like symptoms of other diseases, diagnosing a B12 deficiency can be challenging

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However, while some people believe consuming enough B12 can be difficult for vegetarians and vegans, there are plenty of options apart from just supplements