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No evidence of fluid retention, insulin resistance, or joint swelling typically associated with full hGH

Elevated NNMT expression has been observed in adipose tissue of animals with insulin resistance, and modulation of this enzyme has been shown to influence weight and metabolic function in preclinical models

Additionally, individuals with autoimmune or gastrointestinal disorders, such as pernicious anemia, celiac, or Crohns disease, are more likely to be at risk of deficiency

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Examples include: Preventive vaccines Certain preventive medications Again, documentation should clearly establish preventive intent