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[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

By putting all these results togetherfrom the general FBC to the specific B12 level and finally the definitive antibody testsyour clinician can confidently diagnose pernicious anaemia

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