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Novo Nordisk is doing just that, developing CagriSema, a medication that combines semaglutide with a novel drug known as cargrillintide

The route of administration is a critical factor

Absence of Common Growth Hormone Side Effects: Because AOD-9604 does not bind to growth hormone receptors or elevate IGF-1, it avoids edema and fluid retention, joint pain and stiffness, carpal tunnel syndrome, glucose elevation and insulin resistance, increased cancer risk concerns from IGF-1 elevation, organ growth or acromegaly features with long-term use, and thyroid function suppression

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Additional tests may include full blood count (looking for macrocytic anaemia), methylmalonic acid, and homocysteine levels