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Severe loss of quality of life, due to symptoms such as debilitating fatigue, insomnia (B12 is required for synthesis of melatonin), mental illness, and neurological symptoms
However, do not discontinue prescribed B12 treatment without medical advice, particularly if you have pernicious anaemia or confirmed deficiency, as untreated B12 deficiency can lead to irreversible neurological damage
Sometimes they may present with dysphagia because of development of OAC or Barretts ulcer
It is known for its high potency and efficacy in releasing GH without significantly affecting other hormones like ACTH or cortisol, making it a unique candidate among growth hormone secretagogues
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