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doi:10.3390/jcm7100304

Long-term untreated vegan diet where deficiency has progressed beyond what oral replacement can comfortably catch up

Then, you might need them every two to four weeks after that

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Individualized Frequency Adjustments Even though monthly shots are common, your schedule might change

As of June 2026, the FDA's December 2024 Pharmacy Compounding Advisory Committee evaluation concluded that the criteria weighed against placing AOD-9604 (free base) or AOD-9604 acetate on the 503A Bulks List, and AOD-9604 is currently listed as Nominated but Withdrawn from FDA Category 2