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Although laboratory alterations are seen, such as a reduction in serum T 4 by 25%, T 3 by 15% and a 2 mU/L rise in TSH, these values remain within the normal ranges without clinical signs of thyroid dysfunction (32)

Side Effects Cyanocobalamine can cause these side effects: Itching Mild skin rash Diarrhea Swelling Quick weight gain

Nakasaki M, Yoshioka K, Miyamoto Y, Sasaki T, Yoshikawa H, Itoh K: IGF-I secreted by osteoblasts acts as a potent chemotactic factor for osteoblasts

In fitness products, peptides appear in various forms, though their use is regulated due to doping risks