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Intramuscular hydroxocobalamin injections are the recommended first-line treatment in the UK, as they bypass the absorption problem caused by lack of intrinsic factor

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tendon-to-bone integration also noted in preclinical settings (Staresinic 2003

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Human growth hormone-releasing hormone (hGH-RH) is a hypothalamic peptide hormone that regulates growth hormone (GH) secretion (production and release) from the anterior pituitary 54,55,56 through its binding to pituitary GH-RH receptors/(GH-RH- R) 57

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