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Phase 2: Introduce AOD 9604 (weeks 5-8) Once tirzepatide is tolerated at the initial dose, add AOD 9604 at 250mcg daily

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[3] Beyond critical care, the agent is integral to protocols across rheumatology, hematology-oncology, neurosurgery, and allergy, where its 36- to-48-hour biologic half-life provides durable symptom control

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In summary, the reasons a GP surgery may refuse an early B12 injection are often rooted in a strict interpretation of established, but imperfect, guidelines, a misunderstanding of the actual science of B12 storage and metabolism, and a desire to maintain administrative consistency