Practitioners report that most patients are willing to continue if they perceive any benefit
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Methylcobalamin injections are generally well-tolerated, but like any injection, they can cause some local reactions at the injection site such as pain, redness, or swelling
Glucose Metabolism: Growth hormone is known to impair glucose tolerance and insulin sensitivity, sometimes precipitating diabetes or worsening glycemic control in diabetic patients
However, this remains a preclinical finding that has not been confirmed in human pharmacokinetic studies
But they can get it from B12 supplements or fortified cereals and breads