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Insufficient intrinsic factor production, common in older adults due to age-related absorption decline, can also lead to deficiency
AOD 9604 works differently
Phase 2: Introduce AOD 9604 (weeks 5-8) Once tirzepatide is tolerated at the initial dose, add AOD 9604 at 250mcg daily
Because IM injections are more invasive, they should always be performed under professional supervision
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