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Ipamorelin is a pentapeptide ghrelin mimetic that acts on the GHSR1a receptor, selectively stimulating GH secretion without significantly affecting cortisol, prolactin, or ACTH [4] [7]

Deficiencies in vitamin B12 can cause fatigue, weakness, and nerve issues

When patients present with concerning symptoms whilst taking B12 supplements, alternative diagnoses should be considered, including allergic reactions to supplement excipients, interactions with other medications, or coincidental illness

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