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4-en-VPA and propionic acid metabolites resulting from -oxidation could also promote hyperammonaemia [19,24]

Vitamin B 12 is found only in foods of animal origin and fortified foods, and lactating women who follow vegetarian or vegan diets should take supplemental vitamin B 12

There is no modern medicine treatment however traditional cures are abundant

They often recommend carnitine as a useful, but not exclusive, supplement to improve physical performance, support weight loss, and promote muscle recovery

doi: 10.1016/j.arr.2015.09.005

L-carnitine levels may also be lower in vegetarians, though the cardiovascular risks from supplementation remain the same regardless of dietary pattern