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I have been to 3 doctors, NDs all, who wont give B12 shots

Aguennouz, M

Safety and tolerability of dapagliflozin, saxagliptin and metformin in combination: Post-hoc analysis of concomitant add-on versus sequential add-on to metformin and of triple versus dual therapy with metformin

Due to this effect, patients are able to take GLP1R agonists, when paired with these compounds, at higher doses without the side effects becoming too severe (increasing therapeutic efficacy)

PMID 30724228

The better answer is narrower and more useful: L-carnitine may help some adults lose a small amount of weight, may support recovery markers in some exercise studies, and may matter more for people with low carnitine status, higher body weight, older age, metabolic issues, or a long enough supplementation window