l theanine and acetyl l carnitine Acetyl-L-Carnitine Arginate, 90 capsules Nature's Lab Acetyl L-Carnitine 2000mg,

Dove Medical Press, p

doi: 10.1136/BMJ.318.7179.285

Nanosecond-pulsed microbubble plasma reactor for plasma-activated water generation and bacterial inactivation

in one study of 201 patients with documented vitamin B12 deficiency, frequency of cytopenias was: Anemia in 37% Leukopenia in 13.9% Thrombocytopenia in 9.9% Pancytopenia in 5% Hypersegmented neutrophils in 32% Peripheral smear, showing presence of: Macro-ovalocytes Fragmented red cells (in severe cases) Hypersegmented neutrophils Low reticulocyte count Serum folate to rule out folate deficiency Hemolytic indices (positive from ineffective erythropoiesis): Low Haptoglobin Elevated LDH (often out of proportion to other markers) Elevated indirect bilirubin Elevated AST Diagnosis of atrophic gastritis Anti-parietal cell antibodies Gastric mucosa biopsy Notes: Macrocytosis reported to be absent in about 30% of patients with pernicious anemia

As noted by Dai et al

The most effective forms are: 01 L-Glutathione Most common in clinical trials