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Continue at a lower tirzepatide dose while relying more heavily on AOD 9604 for fat loss

(2013) Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans J Endocrinol Metab 3(12):715 AOD9604 vs Related GH-Axis Research Tools AOD9604s unique combination of GH receptor independence, direct lipolytic activity, absence of IGF-1 stimulation, and confirmed oral bioavailability makes it an irreplaceable research tool for studying adipose tissue metabolism and lipolysis without the systemic endocrine confounds associated with intact hGH or indirect GH secretagogues

Check the levels of cobalamin in blood after 4-6 weeks to know the effectiveness of therapy

Its a dynamic plan that should be adjusted as your bodys needs change