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Individuals with active cancer or a history of malignancy should avoid the peptide unless under medical supervision, as effects on tumor growth have not been adequately studied

Monitoring typically includes clinical response assessment and follow-up blood tests

Any weight loss likely results from concurrent dietary modifications rather than the injections themselves

Individuals taking metformin alongside Mounjaro face higher B12 deficiency risk and may require more frequent monitoring

For confirmed deficiency with neurological symptoms , intramuscular cyanocobalamin injections are preferred, typically administered as 1000 mcg daily for one week, then weekly for four weeks, followed by monthly maintenance therapy

This study investigated how quickly AOD9604 breaks down in blood and what products it forms when it does