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AOD 9604 has an excellent safety profile and recently obtained Human GRAS status in the USA
If you have a mild deficiency, it might take two to three shots spread out over a few days or weeks before you start feeling better
For patients who experience a paradoxical decrease in energy levels, it doesnt mean you should stop taking the B12 but instead decrease your dose by half (so take 2,500mcg every 7 days) or simply take 5,000mcg every 14 days instead
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