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The present study aimed at completing the data of the comprehensive experiment (12) and particularly to fill the knowledge gap regarding the direct influence of dietary L-carnitine supplementation on cellular level of leukocytes and on corresponding leukocyte-derived variables in the blood during a standardized immune challenge

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5 Conclusion This systematic review and meta-analysis indicate that sublingual and oral vitamin B12 administration provide efficacy comparable to intramuscular injection in improving serum cobalamin levels and reducing hyperhomocysteinaemia

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