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Either way, it is often caused by a deficiency in vitamin B12

By measuring IGF-1 during treatment, the doctor can tell if the sermorelin dose is sufficient (IGF-1 should rise into a target range) or if adjustments are needed

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They might do tests to find out why your urine color is different

There are more effective weight management strategies, and medications that could be used for weight loss that have a better side effect profile