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Less than the normal dietary intake of B12 can increase the incidence of palpitations (perceived sensation of increased or irregular heart beating), which makes you feel your heart beating in your chest, seemingly speeding up or running at an irregular rhythm

A deficiency in B12 can lead to hair thinning and premature greying

Approved specifically for HIV-associated lipodystrophy, tesamorelin is a synthetic analog of growth hormone-releasing hormone (GHRH) that stimulates the pituitary to produce and release GH in a physiologic, pulsatile pattern

However, markedly elevated levels without supplementation may warrant GP review to exclude underlying conditions such as haematological disorders, liver disease, or renal impairment