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Both trials (study design below), each with ~1840 participants, are expected to be completed (104-week treatment, and there is a 52-week extension) this September with announcement of the results soon thereafter

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The key question is not which peptide is "better." It is which peptide produces the best outcome for your specific situation, tolerability profile, and research goals

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As per this research, the primary treatment method is supplementation with vitamin B12