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Certain medications may also interfere with red blood cell production

Reported side effects are generally mild and may include: Redness, swelling, or discomfort at the injection site Mild headache Fatigue (usually short-lived) Minor and transient changes in blood sugar (rare) AOD-9604 does not appear to cause the joint pain, fluid retention, or glucose dysregulation commonly seen with full hGH therapy

Allergy risk to cobalt or preservatives (rare) Energy improvement: 24-72 hours Reticulocyte response: 3-5 days Neurological improvement: Weeks to months Hematological normalization: 4-8 weeks Maximum nerve repair: Up to 1 year Injection site reactions (15-20%) Mild diarrhea (initial doses) Itching/eczema (cobalt sensitivity) Transient anxiety (overstimulation) Headache (usually resolves quickly) Serious reactions are extremely rare