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Thanks for all the comments, I feel more informed now for when I reply to the GP

There are things you can do to help manage the effects at home

Cyanocobalamin is less expensive, extremely shelf-stable, and has decades of clinical evidence behind it

Riboflavin deficiency could result in the improper functioning of adrenal glands, which in turn could lead to weight gain around the waist

In rare cases, you might experience the following mild side effects while your body adjusts to sermorelin and ipamorelin (2): Water retention Headaches Discomfort at the injection site Skin flushing Tesamorelin may have unique side effects like joint swelling, arm or leg pain, and muscle stiffness (3)