The first three have previously been reported as fasting markers 16,20 , but KB is novel
However, the review rated the overall evidence quality as very low due to small sample sizes, short follow-up periods, high risk of bias, and predominantly manufacturer-funded studies
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Shi KQ, Tang JZ, Zhu XL, et al
in The Journal of Physiology showed that L-carnitine supplementation improved muscle carnitine content and enhanced fat oxidation during exercise
Those following a vegan diet or with a history of heavy alcohol consumption might need higher B12 supplement dosages