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In practical terms, the medication is designed to extend a normal physiologic pathway rather than replace it with an unrelated mechanism

However, exclusive use of folic acid in treating vitamin B12 deficient megaloblastic anemia could result in progressive and irreversible neurologic damage

Individuals receiving B12 supplementation may occasionally experience injection site reactions or, rarely, hypersensitivity

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The formulation integrates two GHRH-related peptides with a ghrelin receptor agonist, enabling the study of multi-pathway GH signaling interactions

Htu C et al