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Acid production is maintained, intrinsic factor is unaffected, and the absorption pathway stays intact

rotating sites keeps it minimal

[DOI] [PubMed] [Google Scholar] 23.Risk factors for progression to gastric neoplastic lesions in patients with atrophic gastritis

Interestingly, GH signaling leading to activation of lipolysis in adipose tissue and increased hepatic glucose production via both glycogenolysis and gluconeogenesis in the liver, is not affected by the absence of insulin crosstalk (reviewed in (72))

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If you are self-supplementing with high doses, discuss this with your GP to ensure it remains appropriate and safe for your individual circumstances