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What exists is preclinical, and it is thin: Rodent and in-vitro work described procognitive and synaptogenic effects (McCoy 2013, PMID 23055539 now under an Expression of Concern

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Serum IGF-1 levels remained unchanged, confirming the peptide does not activate growth-promoting pathways

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Get a 90-day supply When you first start Zepbound, your provider will likely start you on the lowest dose and then slowly work up to monitor your progress and side effects

But vitamin B12 shots can still have side effects