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It is also worth seeking advice if you follow a vegan or vegetarian diet, take medications that may affect B12 absorption, or have a digestive condition that may increase your risk of deficiency

IGF-1 elevation : Chronic IGF-1 increase raises theoretical cancer risks and causes acromegalic changes

Science 224 , 497500 (1984)

(2025) 17:e86080

It can be used to treat hypogonadism in men that results in low testosterone levels