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Indeed, as noted in the guidelines and consensus statements 9,25,26 , the presence of dysfunction of the GH-IGF-1 axis is suspected when high ( + 2.0) or low ( 2.0) IGF-1 SDS is detected in clinical practice
They do not suit human use, and trained staff follow strict laboratory safety rules at all times
Re-ingestion allows for absorption of nutrients made available by bacterial fermentation, and also of vitamins and other nutrients synthesized by the gut bacteria, including vitamin B 12
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