While both sermorelin and HGH therapy aim to support growth hormone levels, they work in very different ways
With a non existent B12 I am not surprised you feel so awful its going to take time to heal
If you notice changes in your digestion or energy, adjust your routine or talk to a provider

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The seven other medications were thiazolidinediones, sulfonylureas, sodium-glucose cotransporter-2 inhibitors, other GLP-1RAs, metformin, insulins, and dipeptidyl-peptidase-4 inhibitors