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For bodybuilders, Sermorelin offers a strategic advantage: it stimulates your pituitary gland to produce more GH naturally , which in turn increases IGF-1 a powerful anabolic factor tied to muscle growth, fat metabolism, and cellular repair

Supports brain and nerve function: Pyridoxine helps make neurotransmitters, while Nicotinamide supports cellular repair and energy production

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We do not prescribe it to every patient who requests it

However, these patients had multiple risk factors for b12 deficiency beyond semaglutide use, including previous gastric surgery that permanently alters stomach anatomy and reduces intrinsic factor production