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[1] [6] Severe deficiencies may include symptoms of reduced heart function, suppression of bone marrow, as well as more various severe neurological symptoms possibly including sensory loss, abnormal balance and reflexes, memory and consciousness impairment, smell and taste problems, depression, irritability, confusion, and psychosis

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E., Wijsenbeek, M., DeBoer, W., & Zhang, Y

Normally, the pituitary gland releases HGH throughout the day, but HGH production is especially stimulated by sleep, stress , exercise, low blood sugar levels, and taking in amino acids (from protein), according to the Cleveland Clinic