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People who take certain medications may also be at risk of vitamin B12 deficiency, including, but not limited to, estrogen, H2 receptor antagonists, PPIs (Proton Pump Inhibitors), Chloramphenicol, and Metformin

So, sermorelin indirectly helps create an environment that supports testosterone production. Sermorelin also increases testosterone biomarkers like luteinizing hormone (LH) and follicle-stimulating hormone (FSH), hormones that tell your testes to ramp up the production of testosterone and sperm (1, 3)