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Clinical Evaluation of Lipolytic Efficacy: Phase IIa Trial A multi-arm Phase IIa randomized clinical trial [9] enrolled 300 subjects with obesity and evaluated five distinct AOD-9604 intervention arms alongside a placebo control over a 12-week observation period

If that vial sat at room temperature, that air carries room-temperature moisture and particulates directly into your solution

However, it is important to note that neurological symptoms can occur even in the absence of anaemia, particularly in patients taking folic acid supplements, which can mask the blood changes whilst neurological damage progresses

As to the aches and pains, breathlessness etc, this could be due to B12 needing potassium to build RBC, so I would check out low potassium symptoms and eat a banana or maybe two until you have fathomed it out

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