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In recreational athletes, supraphysiological GH doses are often used either alone or in combination with other doping substances (140), and studies have shown that GH improves anaerobic sprint capacity, but not strength and endurance (141), and increases GH, IGF-I and fasting insulin levels (142, 143) mimicking those seen in acromegaly patients ( Table 1 )
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B12 injections are also available through online providers like AgelessRx, which connects users with licensed medical prescribers. After a virtual visit, these services may send prefilled syringes or vials with instructions, often using the active form methylcobalamin, which is considered highly bioavailable. Some mobile health services send registered nurses to homes or offices to administer B12 injections, combining medical oversight with convenience for busy individuals
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