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Smoking also reduces saliva production that normally helps neutralize refluxed acid and clear it back to the stomach

By measuring IGF-1 during treatment, the doctor can tell if the sermorelin dose is sufficient (IGF-1 should rise into a target range) or if adjustments are needed

While vitamin B12 can be taken orally, many patients will benefit from injections as they allow the vitamin to be absorbed in a higher proportion than other forms of supplementation