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For deficiency without neurological involvement or for borderline levels, oral supplementation with high-dose cyanocobalamin (1000-2000 mcg daily) is often effective, as approximately 1% of an oral dose is absorbed through passive diffusion even in the absence of intrinsic factor
Therefore, if you follow a predominantly plant-based diet, supplementation with L-carnitine is recommended, especially for those who regularly engage in active exercise
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