Can't say.... and can't vouch for the Chinese herb in there.

I personally think shot gun combinations of things, often miss
the proper doses, and those fixed combos end up being less effective. Each person is different in what they need and these types of products treat everyone the same.

The ALA is not listed as the stabilized R type, so its dose is probably too low to work. ALA is best absorbed on an empty stomach --not with food.

Turmeric is very low, and not a well absorbed thing, unless especially formulated, for absorption. So it will probably stay in the GI tract.

The B12 is synthetic cyano, and less desirable than methylcobalamin which is the activated form. Many people cannot activate cyano.

The carnitine is low too. And some people cannot handle that much B6.

The ideal types of B6 and B12, and Folate are:
P5P, methylcobalamin and methylfolate.

Taking this with meals will negate any B12 absorption for those with low acid and/or poor intrinsic factor status.

So it is up to you to decide. The supplement chart shows the amounts for TWO tablets which they consider a serving.

I think it is rather pricey for what you get.