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Specifically, it is a fragment of human Growth Hormone (hGH), but it is not the full hormone and does not have the same broad effects as hGH or anabolic steroids

Given the laboratory and clinical findings, the initial differential diagnosis focused on hematologic malignancies, including leukemia, lymphoma, and myelofibrosis

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Both cyanocobalamin and other forms of cobalamin can trigger these reactions, and the risk appears higher with parenteral (injection) administration compared to oral supplementation Khatrawi2022Sajan2023Ullah2018+1 MORE

She has had 3 blood transfusions within the last 6 months