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Cognitive deficits with associated white matter hyperintensities and total brain volume decline Elevated homocysteine levels (marker for cardiovascular disease and stroke) For women, especially of reproductive age, B12 deficiency can be particularly troubling, if not downright dangerous

- **Documentation**: Both the patient and healthcare provider records must include the dose, route (IV infusion), and date of service

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If you are already running Retatrutide and want to add AOD-9604, you can introduce it at any point after you are stable on your Retatrutide dose

Medically reviewed by Alan Lucks | MD , Alan Lucks MDPC Private Practice - New York on October 25th, 2025