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The high GH levels, together with the often severe IGF-1 deficiency, will lead to a severe catabolic state, including significant lipolysis and proteolysis, comparable to extended fasting during a hunger strike, for instance [26]

Thomas JM, Ling YH, Huuskes B, Jelinic M, Sharma P, Saini N, Ferens DM, Diep H, Krishnan SM, Kemp-Harper BK, et al

For example, if you ate the following, you would consume more than double your daily B12 needs: However, if you have any issues that interfere with vitamin B12 intake or absorption, you may want to consider taking a supplement

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