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It could very well be co-existing conditions or habits in B12-deficient folks, which are causing the weight gain

Sermorelin Side Effects Common sermorelin side effects include local injection site reactionsredness, swelling, and mild pain that typically resolve within days

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Since its generally well tolerated, it can be taken with or without food, though those with sensitive stomachs often take it after meals

This is simply because there is less colored liquid for light to pass through
