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In almost all cases, sermorelin therapy will be avoided during pregnancy and lactation to err on the side of caution, unless there are special circumstances and a consensus that treatment is necessary

Intramuscular These injections typically have better results and inject the medicine directly into the muscle, which is then absorbed by the surrounding muscle immediately

The chronic use of any of these medications has the potential to cause complications related to vitamin B12 deficiency, which includes impaired DNA synthesis, impaired cell division, hematopoiesis, hyperhomocysteinemia, and metabolism of odd-chain fatty acids that is necessary in preventing demyelination of nerves