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Also, individuals who have undergone certain surgical procedures, including intestinal resection, bypass, or bariatric surgery, which may reduce Vitamin B12 absorption, are also eligible
I have PA and my 15 year old daughter has recently been displaying symptoms - utter exhaustion to the point where she was falling asleep at 4.30pm and sleeping through to the following morning day after day
The longer duration may have allowed compensatory mechanisms to develop
Note that blood LH levels often do not increase in men taking HCG, as the exogenous hormone does not display much cross-reactivity with most commercial laboratory assays
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