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Hypothyroidism is often a cause of Vitamin B12 deficiency, arising from the reduced absorption of B12, poor utilisation of the liver, and general organ disfunction associated with hypothyroidism, and sometimes by dietary insufficiency of B12 (particularly in the case of a vegetarian diet)

Unlike exogenous GH administration, GHRH analogs preserve the physiologic feedback loop, resulting in more natural GH pulsatility without the risks associated with supraphysiological GH levels [7]

Recent reviews (PMID 38980576, PMID 41966639, PMID 41490200) have placed both compounds into broader peptide-therapy framings

In Schalms Veterinary Hematology , 6th edn