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In cats, we often find that issues of the digestive system go hand in hand with B12 deficiencies

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In studies, the main side effects were gastrointestinal issues like nausea, vomiting, constipation, and diarrhea

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Lymphocytic alveolitis resolves, CD8 T-cell numbers decrease, CD4 T-cell count improves, and thus CD4:CD8 T-cell ratio is ameliorated (103, 104)

Liepinsh, Risks and benefits of carnitine supplementation in diabetes, Exp Clin Endocrinol Diabetes, Fev 2015, 123(2):95-100