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It acts as a growth hormone (GH) secretagogue stimulating levels of GH and insulin-like growth factor 1 (IGF-1), while preserving GH pulsatility
Factors affecting results Individual variation is significant
Phase III trials typically last one to four years with carefully selected participants who often exclude the complex cases that physicians encounter in practice
Improving B12 levels has been clinically linked to better cognitive function, stabilized mood, and the reversal of megaloblastic anemia
Monitoring: Because long-term data are sparse, ongoing follow-up is wise
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