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However if your B12 is already borderline that could be enough reason for you to avoid it
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While very high oral doses (1,000 to 2,000 mcg) can achieve some passive absorption without intrinsic factor roughly 1% of the dose is absorbed passively many clinicians prefer the reliability and rapid correction offered by injections in this population
References PubMed Prakash & Goa (1999): Sermorelin: a review of its use in the diagnosis and treatment of children with idiopathic growth hormone deficiency (pediatric GHD
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PMID 25824066
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