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described a case of a patient suffering from severe macrocytic anemia and indirect hyperbilirubinemia who was initially misdiagnosed with hemolysis until the B12 deficiency was recognized [19]

PMID 8154512.

Interestingly, parallel studies in receptor-deficient models still observed apparent weight changes, indicating that additional pathways, such as energy expenditure or fat oxidation, may be involved

[14] As the pyridoxine molecule can be gradually degraded by exposure to light, it is advisable to store the vials in their carton or in a light-resistant container to minimize light exposure

It is not known if sermorelin is excreted in human milk

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