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Biomed Res Int 2021:9491615 Li M, Xue L, Sun H, Xu S (2016) Myocardial protective effects of L-carnitine on ischemia-reperfusion injury in patients with rheumatic valvular heart disease undergoing cardiac surgery

However, it is important to note that neurological symptoms can occur even in the absence of anaemia, particularly in patients taking folic acid supplements, which can mask the blood changes whilst neurological damage progresses

According to the observed safe level (OSL) risk assessment method, evidence of safety is strong with doses up to 1,200 mg/day of coenzyme Q 10 (108)

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