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There is no safe level

Summary: There is no official contraindication preventing concurrent use of L-carnitine and Mounjaro, but no robust evidence demonstrates additional benefits from this combination

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doi: 10.3390/foods12081620 143 ZhongH.XuJ.YangM.HussainM.LiuX.FengF.et al

Thus, due to the nature of the original diagnostic criteria for GHD, and the reticence to consider aging a disease per se, even though disease risk, incidence and severity can be attributed at least in part to declining activity of the GH neuroendcrine axis, the criteria for determining if secretagogue therapy is indicated as an intervention in aging, are less stringent than those promulgated by Endocrine Society guidelines

Scientists went on to test choline, carnitine, and caffeine together, and the results were even more compelling