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Some researchers and users hypothesize that combining them could produce additive effects: tirzepatide reducing caloric intake and improving metabolic health from the top down, while AOD 9604 enhances lipolysis at the tissue level from the bottom up

Yes different mechanisms, no interaction concerns

However, in rare casessuch as patients with kidney disease or specific hereditary disorders related to vitamin B12 metabolismhigh doses or inappropriate use could potentially cause complications

Several of those together warrant a GP visit

Discussing alternative therapies or having regular nutrient IV therapy and/or vitamin B12 injections can help