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Gastrectomy for any reason (eg, gastric cancer, bariatric surgery) increases the risk of deficiency because parietal cells, the source of intrinsic factor, are removed (17
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Choose based on the protocol you are following, and never carry a dose over from one vial size to the other
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The trans-3-hexenoic acid modification provides DPP-4 resistance, substantially extending the practical research half-life vs native GHRH
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