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B12 reduces pro-inflammatory cytokines and oxidative stress in nerve cells (Yang et al., 2021)

Yes they work through completely different mechanisms and are fully compatible

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Ceci rsulte notamment des rsultats reports au tableau VII d'une tude de l'action compare des combinaisons de L-carnitine : ou de DL-carnitine avec la L-lysine sur l'excitabilit neuromusculaire et sur la contractilit musculaire du rat jeun (par voie orale)