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Yes, combining the two can be beneficial
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Extra Strength Healthy Heart may be better suited for dogs in need of support for healthy circulation and muscle performance
Kittleson MM, Benjamin EJ, Blumer V, Harrington J, Januzzi JL, McMurray JJV, Vest AR
In a study of patients with chronic low back pain, Vitamin B12 given for 2 weeks reduced pain by 32% compared to placebo [Chiu, 2011] In a 2020 systematic review looking at the use of B12 for nerve-related pain it was found that there is moderate evidence for the therapeutic effect of B12 in the treatment painful peripheral neuropathy [Julian, 2020]