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Specifically, it consists of amino acids 176-191 from the growth hormone molecule, plus an additional tyrosine residue at the N-terminus
If you had a real deficiency, the change tends to be more noticeable
Thats why proper assessment and diagnosis are important
Chandys hypothesis, that the rapid onset of the repairing processes induced by B12 shots might overwhelm the system and temporarily cause a worsening in symptoms, similar to the Jarisch-Herxheimer reaction in those treated for Lyme disease