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When the food is swallowed, a substance in saliva called R-protein a protein that protects B12 from being destroyed by stomach acid travels to the stomach along with the food

Description AOD-9604: A Review of Usage and Dosage Introduction AOD-9604 is a synthetic peptide derived from the human growth hormone (hGH), specifically a modified fragment encompassing the C-terminal 16 amino acids of hGH (amino acids 177191)

You can see which symptoms improved considerably (green arrows), and which symptoms remained unchanged (red arrows)

This dose selection was informed by the Phase 2 observation that the 36 mg and 45 mg doses showed only modestly different efficacy but the 45 mg dose carried higher rates of gastrointestinal adverse events