Copper is only required in trace amounts by the body, and too much copper buildup could theoretically cause nausea, abdominal pain, tiredness, liver damage, and neurological effects
Tesamorelin may increase muscle density and improve body composition
Those same actions especially the slowed stomach emptying are what drive nausea, and the gut adapts to them only gradually
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Why B12 specifically
Given the scoping nature of the review and the heterogeneity of available evidence, study selection focused on identifying representative and clinically informative literature rather than exhaustive quantitative inclusion