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C., Engelen, M

The clinical evidence, however, is almost entirely topical and cosmetic , and it is more mixed than the marketing suggests

Glucocorticoids (oral prednisone, hydrocortisone) suppress the GH axis dose-dependently

Diets high in refined carbohydrates and low in protein or fiber can cause rapid blood glucose fluctuations, triggering hunger signals despite adequate caloric intake

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Ask your doctor for all three if your serum B12 is borderline, or if you have symptoms despite a level in the normal range