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the methyl group at the 1-position and the amino group at the 5-position appear important for inhibitory activity

If you have additional risk factors, such as a vegetarian or vegan diet (which may be lower in B12-containing foods), a history of gastrointestinal surgery, or certain medical conditions like pernicious anemia, your healthcare provider may recommend monitoring your B12 levels and considering supplementation, including B12 shots if necessary

Cutting your dose changes how the medication works for you, so this is a conversation with your prescriber, not a solo experiment

Water Retention: Increased GH levels can cause the body to hold onto extra fluid, leading to temporary bloating or mild swelling

Problem: you're never hungry

This timing pattern suggests the symptom may be related to rapid metabolic shifts or dehydration rather than a direct toxic effect of the medication on muscle tissue itself