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Clinical signs of B12 deficiency include nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and diarrhea

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The National Institutes of Health (NIH) also found that carnitine supplementation may play a small role in weight loss when combined with exercise and a balanced diet, according to Healthline