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The trade-off is that Tesamorelins approval is narrow: it applies specifically to HIV-associated lipodystrophy, not general fat loss, and its GH-axis mechanism carries monitoring requirements around IGF-1 and glucose that AOD-9604s trials did not show
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We recommend storing serum for further analysis including MMA, or holotranscobalamin and intrinsic factor antibody analysis, and treating the patient immediately with parenteral B12 treatment
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