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HGH also has direct effects (e.g., fat loss, fluid retention), but muscle growth is largely IGF-1 driven

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Our finding showed that circulating MMA level was independently associated with all-cause death and cardiovascular mortality risk in patients with CHD, while serum B12 concentration, dietary B12 intake from food and B12 supplements use were not significantly associated with mortality risk

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OR: 0.99, 95% CI: 0.73, 1.34

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