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Impaired ATP production in patients suffering from AD has serious consequences, such as disturbed electrochemical gradients across membranes, disturbed functioning of voltage-gated ion channels affecting action potentials and neurotransmission, and increased concentration of intracellular calcium levels

10.1073/pnas.0709144105

AOD-9604 was developed specifically to isolate growth hormones fat-metabolizing properties while eliminating systemic effects that create side effects, contraindications, and complexity

This is problematic if you have an absorption problem (which you clearly do) because you cannot get new stocks of vitamin B12 from the liver...it can only be replenished by having B12 injections - preferably a new round of loading doses