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Rarer side effects include: muscle weakness in uremic patients seizures in those who already have seizure disorders People should be especially sure to inform their doctor before using it as a supplement if they have: diabetes kidney disease high blood pressure cirrhosis Carnitine can interact with phenobarbital, valproic acid, phenytoin, carbamazepine, and some antibiotics, but there is no evidence that these can lead to a deficiency

Some people may also feel that they lack energy

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Guideline 2: Moderate Neuropathy Treatment with 1000-2000 mcg Daily We suggest taking 1000-2000 mcg of B12 daily for those with moderate neuropathy