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To Lower IGF-1 (if excessively high): This is less common, but strategies may include adjusting GH-related therapies and dietary changes under medical supervision

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After gastric bypass surgery, the smaller stomach produces less intrinsic factor, and the shortened digestive tract has less opportunity to absorb B12 as food passes through it

Specifically, it's amino acids 176-191 of the HGH molecule - the part responsible for fat burning without the growth-promoting or insulin-affecting properties of full-length growth hormone