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Eur J Biochem 246:259273 Helmer DA, van Doren WW, Litke DR et al (2020) Safety, tolerability and efficacy of dietary supplementation with concord grape juice in Gulf war veterans with Gulf war illness: a phase I/IIA, randomized, double-blind, placebo-controlled trial

No additive benefit or specific harm has been demonstrated for the L-carnitine/Mounjaro combination, and decisions should be individualised based on your specific health needs and treatment goals