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Since substrate availability significantly influences respiratory quotient and fat oxidation rates, variations in macronutrient intake may have confounding effects that influence individual responses to L-carnitine supplementation

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BUT: If you want the most accurate baseline B12 level: Overnight fast preferred Avoid liver and supplements for days before Regular meat consumption the day before has a minimal effect The bigger concern is B12 supplements , not dietary meat, which can dramatically alter results

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doi: 10.1155/2021/1783485 188 WangYXieYLiJPengZHSheininYZhouJet al