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Another study published in the Scandinavian Journal of Medicine & Science in Sports in 2018 found that increasing muscle carnitine during 24 weeks of HIIT (high-intensity interval training) did not enhance muscle metabolic adaptations or performance gains beyond those with HIIT alone

Ginger's blood work came back: normal CBC except a slightly lowered MCV and with moderate poikilocytosis

Additionally, excessive alcohol consumption can affect vitamin B12 absorption and metabolism, potentially reducing the efficacy of the cyanocobalamin component

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