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Lipolytic Mechanisms in Adipose Tissue Studies show that AOD9604 has multiple, overlapping mechanisms, which together act on the lipid metabolism pathways of adipocytes

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[1] It also aids the production of messenger systems that direct and regulate the flow of hormones and transmitters

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There are no other absolute contraindications reported for hydroxocobalamin use in deficiency states, but caution is advised in individuals with conditions such as early Lebers optic neuropathy (a rare hereditary optic atrophy) due to the theoretical risk of worsening vision