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References suggest it as a tetrasubstituted variant of the shortest functional GHRH sequence, denoted GRF (1-29)

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It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years

Effect of diclofenac on the antiallodynic activity of vitamin B12 in a neuropathic pain model in the rat

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