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The peptides selective mechanism distinguishes it from broader-acting hormonal therapies with more complex side effect profiles
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A B12 deficiency can also be the result of: Cobalamin malabsorption (intestinal diseases, gastric/intestinal resection, atrophic gastritis, pancreatic insufficiency) Low gastric intrinsic factor (dietary intake deficits are less common) Drug interactions
Reason 4: Cost-benefit mismatch
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