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In another placebo-controlled trial conducted by the same group, similar improvements in sperm motility were observed in participants supplemented with 2g/day of L-carnitine and 1 g/day of acetyl-L-carnitine (ALCAR) for six months (112)

doi: 10.1016/j.devcel.2020.12.015 71 YeK.LiH.DingY.ShiY.SongC.GongZ.et al

Compounders have not shared any data on the new molecule produced from the interaction of tirzepatide and vitamin B12, so we dont know what its safety profile is or whether it could affect how well the medication works, Moreno says