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Interventions: After a 6-week run-in phase, patients were randomised to 12 months of treatment with propionyl-L-carnitine (500mg orally, three times daily) or pentoxifylline (400mg orally, three times daily)

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Key structural features include: Molecular formula : CHClNO Molecular weight : 380.0 g/mol SMILES notation : OC(CC@HOC(CCCCCCCCCCC)=O)=O.[Cl-] The stereospecific L-configuration at the carnitine moiety ensures biological activity, as D-isomers lack metabolic efficacy

Here are some groups at higher risk of deficiency: People with gastrointestinal issues: Conditions like pernicious anaemia, Crohns disease, or those who have undergone gastric bypass surgery can affect B12 absorption