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Keep an eye out for these common red flags: Persistent fatigue or "brain fog" Numbness or tingling in the hands and feet (paresthesia) Muscle weakness and balance issues Swollen, inflamed tongue (glossitis) Mood changes or irritability We always recommend starting with a blood test to check your serum B12 levels

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The result: severe water retention, numbness and tingling in the hands (carpal tunnel symptoms from excessive GH), facial flushing, and paradoxically reduced GH output as the pituitary downregulates its response

Discontinue use if severe adverse reactions occur [14]