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Researchers studied AOD-9604 to learn whether the fat-metabolism part of growth hormone could work without the muscle-building, blood-sugar, and IGF-1 effects of the full hormone

[8] In addition, drugs that affect blood cell production, such as certain chemotherapy agents or some HIV medications, may blunt the benefits of vitamin B or alter blood counts

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If you are currently on a compounded tirzepatide protocol and considering a switch to semaglutide with B12, work with your prescriber on a proper dose conversion