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Taking these antibiotics increases the excretion of pivaloyl-carnitine, which can lead to carnitine depletion

B12 shots, also known as intramuscular injections of vitamin B12 (cyanocobalamin), are used to support neurological health, red blood cell production, and energy metabolism

Oral and sublingual B12 supplements are readily available, but the general consensus is that intramuscular injections of B12 are the most effective and efficient means of delivery