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Sermorelin is a synthetic peptide that mimics the action of growth hormone-releasing hormone (GHRH), a naturally occurring hormone produced by the hypothalamus

That action spares nicotinamide for NAD+ production and preserves SAM, which in cell and animal studies translates to reduced fat storage, smaller fat cells, and higher cellular energy output

The vitamin is found in seafood, meat, milk, and eggs, so vegetarians and vegans are at risk

Megadoses of B12 can lead to headaches, nausea, diarrhea, vomiting, and flushing, he says

For those who are breastfeeding, there are no adequate studies determining the risk epinephrine has to infants during breastfeeding