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Dietary cause: daily B12 tablets between meals, or an injection roughly twice a year

Li et al demonstrated that vitamin B12 may up-regulated insulin like growth factor-1 (IGF-1) gene expression, and showed a better neuroprotective effect in the presence of good control of hyperglycemia in rats with diabetic peripheral neuropathy 20

How This Works Tesamorelin mimics natural human GHRH by binding to pituitary GHRH receptors, triggering pulsatile growth hormone secretion and consequent IGF-1 elevation [2]

Pyridoxine is pregnancy category A if used at doses comparable to the recommended daily allowance (RDA) of 2.2 mg

We also wrote about antibodies & autoimmunity that can cause a B12 deficiency and B12 deficiency anemia