By Meet Earths Newest Monkey
3 In B12 deficiency, methylmalonic acid (MMA) can accumulate, and it is thought that elevated MMA, alongside elevated homocysteine, contributes to damage of the myelin sheath (which protects nerve cells and speeds up nerve transmission), which can cause irreversible neurological problems
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Last week at the supplement store I saw a container of 500 mg Acetyl L-Carnitine capsules which had no instructions as to when to take it, which I assume means that it is just as effective with meals as on an empty stomach