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Track your intake for at least the first 4 weeks to ensure you are consistently in deficit

Do not discontinue prescribed B12 treatment without medical guidance , particularly if it has been recommended to address confirmed deficiency

[5] Notably, normal feedback mechanisms remain intact: elevated IGF-1 and GH can signal the hypothalamus and pituitary to modulate further hormone release, which may reduce the risk of extreme hormone levels

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however, vegetarianism or veganism is increasingly so