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N Engl J Med 341 : 785792 Clemmons DR (1993) Use of growth hormone and insulin-like growth factor I in catabolism that is induced by negative energy balance

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Vitamin B12 injections help with boosting energy levels, improving mental clarity and focus, regulating metabolism, supporting red blood cell production, and preventing vitamin B12 deficiency

When this occurs, they may need supplements or B12 shots

That concerns me even more, because I know this isnt normal