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The combination addresses two different metabolic bottlenecks rather than amplifying a single mechanism

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Side effect rates at 12mg are meaningfully higher than at 8mg: Nausea: 43.2% of participants (vs 38.1% at 9mg) Diarrhea: 33.1% (vs 34.7% at 9mg) Constipation: 25.0% (vs 21.8% at 9mg) Vomiting: 20.9% (vs 20.4% at 9mg) The decision between 8mg, 10mg, and 12mg as a maintenance dose should be made based on individual response

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While it is unlikely that taking supplements will have an adverse effect on sleep, some limited evidence suggests that certain supplement intake may have a negative impact on sleep quality