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In addition, OCTN2 protein was detected in exosomes released from HEK293 cells [166], indicating that carnitine and its derivatives may be transported between cells through exosomes, a finding that provides new insights into the role of carnitine and its transporters in exosomes and their functions in intercellular communication and pathological processes

However, results can vary , and more research is needed to determine their full effectiveness

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Hordenine has also been the subject of FDA enforcement actions and warning letters

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If left untreated, B12 deficiency can cause severe neurologic issues and blood diseases