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Baseline and follow-up testing should include serum IGF-1 (to prevent supra-physiological elevation above 300 ng/mL), fasting glucose and HbA1c (GH can transiently raise blood sugar), and optionally prolactin if using high-dose ipamorelin

Brain function Vitamin B12 also plays an important role in the brain: it is involved in the production of certain messenger substances (neurotransmitters) that are important for mood, memory, and thought processes

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Also, inform your doctor about all other medicines, and herbs that you take and your complete medical history

This is less common than nausea or vomiting, and symptoms typically improve within 4-8 weeks as tolerance develops