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B12 is generally safe

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While no major clinical trials directly study this combination, the theoretical basis appears safe since both medications address different biological pathways

Moreover, LC administrated for 2 weeks suppresses atrogin-1 messenger RNA (mRNA) level in suspended rats hindlimb [35], and only 7 days of LC administration downregulates MuRF-1 and atrogin-1 mRNAs reducing muscle wasting in a rat model of cancer cachexia [32]

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