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Figure 2 represents the pathophysiology of an altered IGF-1/GH/insulin axis, and potential beneficial actions of IGF-1 therapy

Adjust the timing of your injections and consider using sleep aids if needed

Helps differentiate pernicious anemia from other anemias

The ones every three months have been helpful and Ive had no side effects, however the last two times Ive had the injections Ive been really struggling with fatigue (my main symptom) especially bad in the couple of weeks beforehand so Ive not been actually getting a huge amount of benefit from them as its just gone on helping the worsening fatigue, so my overall baseline fatigue hasnt actually been helped

In contrast, a B12 injection (typically administered into a muscle, known as an intramuscular injection) bypasses the entire digestive system

Are there any other possible causes for my symptoms