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We use methylcobalamin, the biologically active form of B12 most readily utilized by the body, more effective than the cyanocobalamin found in most over-the-counter supplements, which requires conversion before the body can use it

Short-term secretagogue use producing physiological GH elevation differs substantially from the chronically supraphysiological levels seen in acromegaly, but awareness of these risks remains important

Schedule: Daily subcutaneous injections for 812 weeks, optionally extended to ~16 weeks for longer research goals

People with poor B12 absorption may also benefit from injections more than oral supplements