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Rotate injection sites (abdomen, thighs, upper arms) to minimize local irritation

[1] [2] When neurological symptoms are present such as paraesthesia, numbness, balance problems, or cognitive changesmore aggressive treatment is required

Step 3: The Injection A small intramuscular injection is administered

Some people start with weekly injections to restore their levels and then transition to a monthly schedule for maintenance

AOD-9604's lipolytic activity is suppressed by insulin, so fasted administration is essential

This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation