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Caution is advised when using both together
Moreover, BP suppresses and downregulates the expression of NF-B (induced nuclear factor) and tumor necrosis factor (TNF) due to its anti-inflammatory activity (84)
However, more evidence is needed
In some patients, using biotin alone may trigger a recurrence of the acute crisis, so biotin is usually combined with thiamine [67]
Despite claims that L-carnitine or ALCAR might increase seizures in some individuals with seizure disorders (133), these are not supported by any scientific evidence (134)
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