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[37] The MMACHC gene product is characterised as a cyanocobalamin reductase (cyanide-eliminating) and an alkylcobalamin reductase

[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults

This delayed gastric emptying leads to prolonged feelings of fullness and reduced appetite, ultimately contributing to weight loss

Understanding how to promote fat loss while minimizing metabolic adaptation could inform the development of more effective long-term weight-management interventions