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Am J Kidney Dis 75(5):812-4 2020 Shao D, Kolwicz SC, Jr., Wang P, Roe ND, Villet O, Nishi K, Hsu YA, Flint GV, Caudal A, Wang W, Regnier M, Tian R

Summary: Berberine and L-carnitine can be taken together as no direct interactions are documented, but evidence for their combined use is limited and neither is recommended in UK clinical guidelines

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doi: 10.1097/MPG.0b013e31818e04d1 97

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This would suggest that the neuroprotective properties of either enantiomer of huperzine do not have a direct relationship to their AChE inhibitory activities