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This combination has the additional benefits of increasing growth hormone production, helping to eliminate ammonia in those suffering from liver disease, decreasing blood pressure by increasing NO production, and improving carbohydrate metabolism in those with diabetes mellitus

Thus a situation of Paradoxical B12 deficiency was universal

Baltimore vitamin supplementation specialist, Eric Nager, M.D

You might wonder how a pill works if you lack intrinsic factor: at very high oral doses, a small amount of B12 can be absorbed directly through the gut wall via passive diffusion, bypassing the need for intrinsic factor entirely [1] [3]

Vitamin B12 injections are not for the faint of heart, though, as they must be inserted in thick, deep muscular tissue in order to work

Patients who understand that the GH-IGF-1 cycle operates on a 4 to 8 week minimum timeline, and that cumulative results build over 3 to 6 months of consistent protocol adherence, are the ones who complete a full cycle and achieve meaningful body composition change