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Vitamin B12 deficiency is frequently linked to: malabsorption disorders, severe malnutrition, some inherited imbalances in absorption, exocrine pancreatic insufficiency (EPI), chronic gastrointestinal disease and intestinal dysbiosis

Moreover, a randomized double-blind placebo-controlled clinical trial indicated that supplementation with Coenzyme Q10 (30 mg/day) and L-carnitine (500 mg/day) for 8 weeks had beneficial effects on migraine symptoms and serum levels of lactate (166)

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However, low levels Some peoples bodies do not produce enough stomach acid or intrinsic factor if they have a condition known as autoimmune atrophic gastritis