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This immediately flags a common cause: Dietary Factors: Vegans and strict vegetarians are at a higher risk of deficiency if they dont consume fortified foods or supplements
10.1038/nrmicro2876 Nat
Things like GHRP3 can potently increase growth hormone, but are known to also potently increase prolactin and cortisol, leading to more than a doubling of circulating cortisol, which depending on how well regulated it is across the time of day can be problematic
Basically, all foods that vegetarians and vegans either avoid or eat only in part
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