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Description
If your immune system is attacking the intrinsic factor protein, you've lost the ability to absorb B12 through your gut

PMID 20303587

Other pharmaceuticals within this category, such as etoposide and camptothecin, exhibit similar senescence-inducing properties to doxorubicin [6]

The short answer for the vast majority of healthy adults is no
Unlike human growth hormone, which can induce hyperglycemia and reduce insulin secretion during extended use, AOD-9604 showed no adverse effect on insulin sensitivity even in long-term animal studies confirmed through euglycemic clamp techniques