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Pernicious anemia: insufficient vitamin B12 in the digestive system for its proper absorption can cause anemia

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The meta-analysis of these three randomized, double-blind, placebo-controlled trials found no effect of L-carnitine (0.25-4 g/day for 1 week to 3 months) or ALCAR (3 g/day for 6 months) on the level of cancer-related fatigue (108)