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It is chemically a small-molecule, non-peptide compound rather than a true peptide, even though it is routinely grouped alongside peptides such as ipamorelin or CJC-1295 in bodybuilding content because it acts on the same GH/ghrelin pathway
This includes: Patients with malabsorption issues due to gastrointestinal disorders Individuals with pernicious anemia or other conditions that impair B12 absorption Cases where a rapid increase in B12 levels is necessary In these cases, IV delivery gets B12 straight into the blood
Some GPs may incorrectly believe that only patients with a definite diagnosis of PA, those with a positive intrinsic factor antibody test, require treatment for life so seem to be using this as their treatment exclusion criteria
