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Another cause - granted, identified as rare - is a B12 deficiency

Carnitine: this nutrient acts as a shuttle that moves long-chain fatty acids into a cellular organ called mitochondria
(PubMed) Almeida OP, McCaul K, Hankey GJ, Norman P, Jamrozik K, Flicker L

Despite the fact that we do not like to get stuck with needles, just from routine vaccinations and blood tests you can expect to be stuck at least 165 times over your lifetime

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