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It appears on WADA's Prohibited List under "Hormone and Metabolic Modulators." International regulatory status varies: the European Medicines Agency (EMA) has not approved AOD-9604, and it is banned or restricted in many countries as an unapproved drug product

AOD-9604 can be gel-prone at higher concentrations

Tirzepatide is administered as a once-weekly subcutaneous injection, with dosing typically initiated at 2.5 mg and increased by 2.5 mg every 4 weeks up to a maintenance dose of 5-15 mg based on tolerability and therapeutic response

Its effect is gradual and appears most pronounced when combined with a caloric deficit and regular physical activity