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Body mass index and mortality: A meta-analysis based on person-level data from twenty-six observational studies

However, there is a lack of clear evidence that reduced serum vitamin B-12 induced by these drugs leads to biochemical or functional vitamin B-12 deficiency, as indicated by circulating methylmalonic acid and homocysteine concentrations, or to the hematologic and neurological manifestations of clinical deficiency

[1] A normal pituitary will release a surge of GH in response

PMID 21436999