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The Acetyl-L-Carnitine Supplements review has also been updated because acetyl-L-carnitine is chemically similar to L-carnitine, suggesting a potential concern
Conversely, a few studies reported high levels of vitamin B12 in the blood of patients with a worse COVID-19 outcome 48,49 potentially due to cytolysis leading to the release of intracellular B12 into the plasma and disrupted B12 clearance by the liver, which is often affected in these patients 50
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