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Food, particularly carbohydrates and fats, can cause the release of insulin and somatostatin, which can blunt sermorelin's ability to stimulate the pituitary gland
Individuals with Poor Absorption: People with low stomach acid, or those who have had certain surgeries (like gastric bypass), may struggle to absorb B12 from food and would benefit from injections
J.CreagerM
Then, gradually, they start to return to the way they felt before
