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The 4 mg dose was not side-effect-free

Lipotropic agents, particularly choline, have been shown to reduce liver fat accumulation, which is a key factor in metabolic health

View on PubMed Effect of Intra-articular Injection of AOD9604 with or without Hyaluronic Acid in Rabbit Osteoarthritis Model Demonstrated AOD9604 intra-articular injection reduced cartilage degradation and inflammatory markers in a collagenase-induced knee osteoarthritis rabbit model, with the combination of AOD9604 and hyaluronic acid showing additive chondroprotective effects (Ann Clin Lab Sci, 2015)

In that case, every patient with PA was written to and told to buy 1mg tablets from Amazon