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It also helps to maintain a healthy balance of gut bacteria

That growth hormone prompts the liver to produce IGF-1, which supports protein synthesis, lean mass, and body recomposition over time

[15] [16] Tests may include full blood count, serum B12 levels, anti-intrinsic factor antibodies (to diagnose pernicious anaemia), and sometimes methylmalonic acid or homocysteine levels when the diagnosis is uncertain

Insulin-like growth factor-I concentration and risk of prostate cancer: results from the European Prospective Investigation into Cancer and Nutrition

PMID 16984231

Consequences of Low NAD+ Levels Fatigue and slow recovery: Mitochondrial inefficiency leads to ATP shortages