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Metformin is associated with low levels of vitamin B12 with no effect on other vitamin levels

And it does indeed cause increases in circulating growth hormone and increases in IGF-1

Diabetes & Metabolism [Internet]

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References Journal of Endocrinology & Metabolism (2014) Safety and metabolism of AOD9604: novel nutraceutical ingredient for improved metabolic health Journal of Clinical Endocrinology & Metabolism (PubMed) Prolonged stimulation of GH and IGF-I secretion by CJC-1295 in healthy adults European Journal of Endocrinology (PubMed) Ipamorelin: the first selective growth hormone secretagogue Translational Andrology and Urology (PMC) Role of growth hormone secretagogues in body composition management Endocrinology (OUP) hGH and AOD-9604: lipid metabolism and beta-adrenergic pathway insights CDC Preventing unsafe injection practices: multi-dose vial handling guidelines Journal of Endocrinology & Metabolism (2013) Safety and tolerability of the hexadecapeptide AOD9604 in humans Obesity Pharmacotherapy Review (PMC) AOD-9604 clinical trial overview and weight loss outcomes Subcutaneous Drug Injection Review (PMC) Pharmacologic considerations of the subcutaneous route CDC Vaccine administration: subcutaneous route (angle/site guidance) MedlinePlus Subcutaneous injections: patient instructions and technique NCBI Bookshelf Best practices for injection: asepsis, preparation, and administration Additional Research and Background These sources provide related context and are not presented as support for a specific statement above

A 1-year controlled trial of acetyl-l-carnitine in early-onset AD