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Supplementing with B12 can enhance energy levels, sharpen focus, and support overall cognitive performance

18 Table 4 Time to Improvement of Abnormalities in Vitamin B12 Deficiency After Initiation of Treatment A 2005 Cochrane review involving 108 patients with vitamin B 12 deficiency found that high-dose oral replacement (1 mg to 2 mg per day) was as effective as parenteral administration for correcting anemia and neurologic symptoms

Fasting glucose matters because GH can affect insulin sensitivity transiently, and a patient with undiagnosed prediabetes needs a different conversation before starting a GH secretagogue than a metabolically healthy patient does