Have used MMO since the 1950's when I was an apprentice mechanic at the old Cummins agency in S. F.
On the old PT systems on the older trucks, it was used to keep the injector plungers clean. On the trucks it was used, seldom was a stuck injector incountered. Now this is far passe now but still used by many.
Used it on my old ist gener truck and presently on my 04. Just do not use too much and the fuel filter should not be pink, as this is a sign of useing too much.
In California here, the State Patrol has periodic stops where they "stick" the tanks. If too much, you will be cited for red off the highway fuel.
As the old saying goes, " when in doubt, read the instructions".
Its good stuff. labeled now as to "not be used on model year 2007 trucks & newer Diesel motor vechicles". Federal law to comply with LS fuel.