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Without adequate B12, some patients experience persistent fatigue that reduces physical activity, slows metabolic adaptation, and increases dropout rates from treatment programs

This makes it a suitable option for a broader range of people, including those who may not be candidates for full growth hormone secretagogue protocols

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Venkataraman H, Ram U, Craik S, Arungunasekaran A, Seshadri S, Saravanan P (2017) Increased fetal adiposity prior to diagnosis of gestational diabetes in South Asians: more evidence for the thin-fat baby