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Patients on long-term PPIs should have their B12 status monitored periodically, particularly if other risk factors are present

It's possible that you may be deficient in vitamin B12

It differs from native IGF-1 by having an arginine substitution at the third amino acid (R3) and an additional 13 amino acids at the N-terminus, making it significantly more potent in receptor activation studies

Digestive issues such as Crohn's or celiac disease can lead to impaired absorption of nutrients in the gut which may result in the need for B12 supplementation

The orthopedic market is where much of this is landing

I was hoping the b12 would help me lose weight, but I didnt