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If you are self-supplementing with high-dose B12 without medical indication, discuss this with your GP

Dec 2007;61 Suppl 1:S122-131

Mayo Clin Proc 76(3):323326 Walubo A, Seger D (1999) Fatal multi-organ failure after suicidal overdose with MDMA, ecstasy: case report and review of the literature

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Alpha-ketoglutarate is also involved in the synthesis of glutamine, proline and arginine

Other, rare side effects of sermorelin include (10): Shortness of breath Facial flushing Nausea Headache Sleepiness Difficulty sleeping Trouble sitting still Muscle or joint pain If you take sermorelin with TRT, you may also experience side effects from the testosterone therapy