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The NICE Guideline NG239 (2024) and the AAFP clinical review both support this approach

Common Side Effects: Mild gastrointestinal issues (nausea, diarrhea, stomach discomfort) have been reported in a small percentage of individuals, especially at higher doses

StatPearls, Treasure Island (FL): StatPearls Publishing Copyright 2022, StatPearls Publishing LLC Sisson H (2015) Aspirating during the intramuscular injection procedure: a systematic literature review

However, the lack of standardized formulation for lipotropic injections presents a significant concerncompounding pharmacies may include additional ingredients such as L-carnitine, lidocaine, other B vitamins, or amino acids that have not been evaluated in combination with GLP-1/GIP agonists

[99] A person with cobalamin C disease, a rare autosomal, recessive, inheritance disease which results in combined methylmalonic aciduria and homocystinuria), [100] can be treated with intravenous or intramuscular hydroxocobalamin

Additionally, AOD 9604 is not on the FDA-approved bulk substance list, and thus is not eligible to be compounded