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N Z Med J 129 Kotilea K, Quennery S, Decros V, Hermans DA (2014) Successful sublingual cobalamin treatment in a child with short-bowel syndrome

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Gastrointestinal tolerability may be challenging, as both ketogenic diets and GLP-1 agonists can cause nausea, constipation, and altered bowel habits

One study conducted by the University of Catania in Italy and published in the American Journal of Clinical Nutrition looked at the effects of daily L-carnitine supplementation on mental and physical fatigue in elderly participants over 100 years old