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Medical conditions such as chronic gastritis (inflammation of the stomach) or gastrectomy (partial or total surgical removal of the stomach) can leave the body without enough intrinsic factor

If your liver has excess fat accumulation, either from prior fast weight gain, or from suddenly losing so much fat in a short amount of time, this could potentially impede fat loss on hCG

Full-length hGH binds to the growth hormone receptor and stimulates IGF-1 production, driving anabolic and proliferative effects across multiple tissue types