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Multivitamins (MODERATE EFFECT) A typical multivitamin contains: 6-25 mcg B12 (daily recommended intake is 2.4 mcg) Effect: Can increase serum B12 by 20-50 pg/mL if taken daily Stop 2-3 days before the test for accuracy 3

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And we keep having to use our clinical judgment, rather than trusting blindly on test results 5

Using both is redundant rather than synergistic and may cause NAD+ oversupply, which preliminary research suggests could impair SIRT1 regulation

Because it restores physiologic GH pulsatility rather than delivering exogenous GH, Tesamorelin produces a more favorable side-effect profile than direct GH administration in research settings