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In some embodiments, the otoprotectant is a compound of Formula (VIII) having the structure of Formula (VIIIa): In some embodiments, the otoprotectant is a compound of Formula (IX): wherein: R 1 is C 6 -C 10 aryl or C 3 -C 9 heteroaryl, wherein C 6 -C 10 aryl and C 3 -C 9 heteroaryl are optionally substituted with one or more R 4

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Research comparing gastric emptying rates shows the semaglutide and cagrilintide mix produces more pronounced slowing than either peptide alone

Step 7: Discard the remaining bacteriostatic water and refrigerate the Methylcobalamin 10,000 mcg vial

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