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doi: 10.1007/S11745-000-0607-X 86 ShahidSKKharitonovSAWilsonNMBushABarnesPJ

Monitoring also includes fasting glucose, since growth hormone affects glucose metabolism, and side effect tracking for fluid retention, joint discomfort, and other effects

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The debilitating fatigue which seems to be the most common symtpom of B12 deficiency may be due to a combination of neurological factors, anaemia, and the role of B12 in the mitochondria

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