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Moreover, B12 injections may contribute to cardiovascular health by helping to lower homocysteine levels, an amino acid associated with an increased risk of heart disease

It means it didn't work well enough as a standalone pharmaceutical drug

And in cats, actually, vitamin B12 or cobalamin, is used as a marker of gut health

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Because AOD9604 does not stimulate IGF-1 production and lacks strong GH receptor agonism, it may present a safer alternative for long-term OA treatment [1]