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This requires meticulous, well-controlled longitudinal studiesthe kind of work that truly pushes the boundaries of our knowledge

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It is worth noting that in advanced liver disease, serum B12 levels may appear normal or even elevated due to altered binding proteins and reduced clearance, which can make interpretation of blood tests more complex

Even in those without clinical deficiency, many report improved energy levels after beginning B12 therapy

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Elevated growth hormone may support tissue repair, metabolic regulation, and potentially ovarian follicle quality via IGF1 signaling