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Also many older people take medications like Proton Pump Inhibitors, ( and other medications) which have a terrible effect on stomach acid production

Insufficient B12 can lead to serious complications like neural tube defects

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In research models, its studied for its interaction with GHRH receptors on the pituitary gland, where it prompts the pituitary to release endogenous growth hormone through the bodys own regulatory pathway rather than introducing growth hormone directly, as some other compounds in this research category do