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Hematologic Complications: Severe Anemia: In advanced cases, the anemia can become severe, leading to heart failure, especially in individuals with pre-existing heart conditions

Joint Pain: Paradoxically, while growth hormone is sometimes used to support joint health, it can also cause joint pain and stiffness as side effects

Research also suggests that these injections might decrease the risk of dementia and other cognitive impairments, especially in individuals with low B12 levels

That guides whether ongoing injections or oral therapy is best