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For skin : Direct subcutaneous injection into areas of concern (face, neck, dcolletage) or systemic administration with localized topical application for synergistic effect
The sixth coordination site, the reactive center, is variable, being a cyano group (CN), a hydroxyl group (OH), a methyl group (CH 3 ) or a 5-deoxyadenosyl group
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I had been on another compound type of tirzepitide, I found that with Citizen meds its not as strong as my previous rx