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Diarrhea and headache

Because AOD 9604 does not bind the growth hormone receptor, it does not trigger the IGF-1 cascade

This is common for patients with chronic kidney disease

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

versions, but the active ingredients and effectiveness are the same