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However, the lack of standardized formulation for lipotropic injections presents a significant concerncompounding pharmacies may include additional ingredients such as L-carnitine, lidocaine, other B vitamins, or amino acids that have not been evaluated in combination with GLP-1/GIP agonists

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119 In contrast, tumor-specific neoantigens arise from somatic mutations, gene fusions, or aberrant splicing events 120,121 and are absent from normal tissues, making them highly immunogenic