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Another official was even blunter, saying the agency does not know with any certainty what the substance is

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In drug-induced pyridoxine deficiency, such as in patients taking isoniazid, a higher replacement dose is often used, for example, 100 mg IV or IM daily for 3 weeks, to rapidly correct the deficiency, followed by a maintenance dose of around 30 mg daily

While this provides body composition benefits including fat loss and muscle growth, it also affects glucose metabolism (often elevating blood sugar), increases IGF-1 (with implications for cell proliferation), and costs significantly more than AOD-9604