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A 2013 meta-analysis in Growth Hormone & IGF Research found that prolonged GH secretagogue use increased fasting insulin by 1530% and reduced insulin sensitivity index by 1020% in non-diabetic adults

Other Risk Factors : People with chronic alcoholism, those taking certain medications (like metformin or proton pump inhibitors), or individuals with specific genetic mutations affecting B12 metabolism may also benefit from B12 injections

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