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The Endocrine Society's 2019 clinical practice guideline on GH deficiency states that GH therapy in adults should be initiated only after confirmation of GHD by stimulation testing and should target IGF-1 to the age-adjusted mid-normal range
Dietary Sources Incorporate more B12-rich foods into your diet: Meat (beef, liver, chicken) Fish and shellfish (salmon, tuna, trout, clams) Eggs and dairy (milk, cheese, yogurt) Fortified plant-based milks or breakfast cereals (for vegetarians/vegans) 2
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