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(2001) Recombinant human growth hormone, but not insulin-like growth factor-I, enhances central fat loss in postmenopausal women undergoing a diet and exercise program

[39] The elderly are at increased risk because they tend to produce less stomach acid as they age, a condition known as achlorhydria, thereby increasing their probability of B 12 deficiency due to reduced absorption

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Cardiovascular Risks: Use with caution in patients with a history of cardiac conditions as lidocaine can affect cardiac function

Individuals with gastrointestinal disorders , like Crohn's or celiac disease