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Clinical studies suggest that daily doses of 5001,000mcg of methylcobalamin (the active form of B12) may reduce neuropathic pain and improve nerve conduction especially in those who are B12 deficient.52 Vitamin B12 is generally safe and well-tolerated when taken as directed, and it can often be used alongside ALA.8 Acetyl-L-carnitine (ALCAR) ALCAR is a compound naturally produced by the liver and kidneys that helps shuttle fatty acids into mitochondria to be converted into energy