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Theyre concentrated doses of vitamin B12 given intramuscularly, usually in the arm or thigh

[4] Reviews also describe angiogenic effects that the authors argue mirror standard growth factors across multiple tissue types

However, other GHSs can temporarily affect insulin sensitivity, requiring careful monitoring

Laboratory markers include suppressed free T3 with normal TSH (euthyroid sick syndrome), elevated cortisol, and in severe cases, low LH and FSH indicating hypothalamic suppression

Oral medications, including antibiotics or hormonal therapies, might also be prescribed depending on the underlying cause