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The absence of IGF-1 elevation carries important safety implications

Do not shake forcefully

& Heck, A

Nature (2019) 569(7758):7238

Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin

however, getting a flu shot later may still provide protection since flu season typically peaks in January and last through about March