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Accelerated gastric emptying, which can occur after sleeve gastrectomy, may allow less time for B12 extraction and binding, though this is considered a secondary mechanism
For me that was more than 2 or three drinks at the point of deficiency
IGF-1 and its analogs including IGF-1 LR3 are listed under S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics) and are prohibited at all times, in and out of competition
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