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Indirect effects are mediated mainly through IGF-1 (insulin-like growth factor 1), which is produced in the liver and other tissues in response to GH boost

Gastrointestinal effects usually settle across the first month, then return temporarily after each increase

B12 can be injected just under the skin (often in the abdomen) or into the muscle (usually the thigh)

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For this reason, it can be used in athletes and post-surgery patients

Conclusion There are apparent differences between vitamin injections, like vitamin B12 shots, and oral supplements