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[27] Additionally, anyone with Lebers hereditary optic neuropathy (a rare inherited eye disease) must avoid cyanocobalamin injections, since B can precipitate rapid worsening of that condition

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Since L-carnitine is contained in red meat, omnivorous humans have higher values of TMAO than vegetarians, explaining why L-carnitine and the microbiota may contribute to the causal link between high consumption of red meat and CV risk 35
& Che M., 1995
