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GH inhibits 11-hydroxysteroid dehydrogenase type 1 (11HSD-1), a microsomal enzyme required for conversion of cortisone to its active metabolite, cortisol, in hepatic and adipose tissue

Numbness or tingling sensations Pain in the hands and feet Weakness or fatigue Risk Factors for Developing B12 Deficiency Neuropathy Some people are more likely to get nerve damage from B12 shortage

We proposed to continue this policy in future years, until, or unless, an alternative policy is finalized

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