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The mechanism of action for AOD 9604 involves stimulating fat breakdown and fat oxidation in adipose tissue, supporting research into its potential as a treatment for obesity and metabolic disorders

Specifically, the generation of ceramides by dihydroceramide desaturase 1 (DES1) in adipocytes seems to impart some of the lipotoxic effects such as impaired glucose utilization, insulin resistance and hepatic steatosis (198)

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Further, cyanocobalamin and hydroxocobalamin are available by prescription in an injectable form to treat pernicious anemia, and cyanocobalamin is available as a prescription nasal spray

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