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Importantly, glucose metabolism and insulin sensitivity were either unchanged or slightly improved, contrasting with the diabetogenic effects of growth hormone

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When levels drop too low, it can lead to serious health issues, including neurological problems and anemia

Vitamin B12 is a water soluble vitamin and helps the body to properly form red blood cells, grow tissues, and replicate DNA

This could be because they huffed a lot at the time, or they might have other health conditions (like anemia) or a pre-existing vitamin B12 deficiency