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This is more likely when B12 is given in injectable form rather than taken orally

United States Pharmacopeia and National Formulary

This bypasses your digestive system entirely

Nausea (most common, typically dose-dependent and transient) Diarrhea or constipation during dose escalation Vomiting, especially when starting or increasing dose Reduced appetite and early satiety Injection site reactions (redness, bruising) Fatigue, particularly in early weeks Rare: Pancreatitis discontinue immediately with severe abdominal pain Rare: Thyroid C-cell effects (contraindicated with MEN2 or thyroid cancer history) AOD-9604 is a modified C-terminal fragment (residues 176191, Tyr-hGH177-191) of human growth hormone, studied for lipolytic and anti-obesity properties

HCG exerts its effects by binding to luteinizing hormone (LH) receptors on target cells in the ovaries and testes, thereby mimicking the action of endogenous LH