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Topical anesthetics may be helpful

AOD-9604 contains the hGH 177191 sequence with an added tyrosine at the N-terminus (for stabilisation), whereas HGH Fragment 176-191 is one amino acid shorter and unstabilised

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For patients who cannot tolerate injectable medications, other FDA-approved anti-obesity medications may be considered, including phentermine/topiramate ER, naltrexone/bupropion ER, or orlistat, though evidence for their use specifically in post-bariatric populations is even more limited