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If they think they may have a B12 deficiency, a blood test can determine this

Who should not use AOD-9604

This compound is not approved as a drug, diagnostic, or dietary ingredient in this context, and is not manufactured, packaged, or marketed for consumption, self experimentation, clinical application, or any use outside properly designed and ethically approved research protocols.

It may also enhance the activity of certain immune cells, which may ward off viruses and chronic disease such as cancer, according to a 2020 review in the medical journal, Nature (2)

Others do monthly maintenance

This is why patients with neurological involvement are often maintained on a more frequent schedule (every 2 months rather than every 3 months)