Plant-based products do not supply vitamin B12
PMID 33053716
AOD-9604 (Fragment 176-191) is a synthetic peptide fragment derived from the C-terminal region of human growth hormone (amino acids 176-191)
Alternatively, adequate intake of B12-fortified foods can provide sufficient amounts
Symptoms of B12 deficiency may include Megaloblastic anemia (large red blood cells with abnormal nuclei) Fatigue Paleness Heart palpitations Dementia Weight loss Infertility Numbness and tingling in hands and feet Depression, mania, delirium, psychosis Poor pregnancy and breastfeeding outcomes (neural tube defects, developmental delays, failure to thrive, anemia in offspring) Low red and white blood cell counts or platelets Glossitis of the tongue Erectile dysfunction or bowel/urinary incontinence Recommended Daily Intake for B12 Recommended Dietary Allowance (RDA) Daily B12 requirements depend on age, sex, and dietary intake (5) Assessing B12 Status Typically serum B12 levels are used to determine vitamin B12 deficiency (keep in mind normal value ranges may vary slightly depending on the laboratory)

Preserves feedback sensitivity: Unlike exogenous GH therapy, tesamorelin maintains the hypothalamic-pituitary feedback loop, allowing for regulation of GH and IGF-1 within physiologic ranges 3,4