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One of the best treatments for this deficiency is a vitamin B12 injection

It selectively triggers GH release from somatotroph cells while avoiding significant stimulation of other anterior pituitary hormones such as prolactin, ACTH, and cortisol, distinguishing it from earlier GHRPs and making it the most selective GHRP-class compound characterised to date

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27 NagiM.TanabeK.NakayamaH.UenoK.YamagoeS.UmeyamaT.et al (2016)

Medical protocols prioritize safety and metabolic stability over aggressive dosing strategies

Spielman LJ, Little JP, Klegeris A (2014) Inflammation and insulin/IGF-1 resistance as the possible link between obesity and neurodegeneration