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There was no clinical focus for this at all

Ferreira GC, McKenna MC (2017) l-Carnitine and Acetyl-l-carnitine roles and neuroprotection in developing brain

Similarly, trials examining the reverse scenarioadding a GLP-1 agonist to DPP-4 inhibitor therapyhave shown that whilst some glycaemic improvement occurs, it is primarily attributable to the GLP-1 agonist itself, with the DPP-4 inhibitor contributing minimally