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Authors conclusions: Low quality evidence shows oral and IM vitamin B 12 having in terms of normalizing serum vitamin B similar effects 12 levels, but

Glucose Metabolism: Growth hormone is known to impair glucose tolerance and insulin sensitivity, sometimes precipitating diabetes or worsening glycemic control in diabetic patients

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That is genuinely different from most peptides, which are destroyed in the gut and therefore have to be injected

doi:10.1021/acs.orglett.6b02611

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