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This is because ghrelin receptors are found in the pituitary gland, where they are called growth hormone secretagogue (GHS) receptors
Those with normal absorption can be maintained on oral replacement
Renal failure and/or hepatic failure : Follow phenobarbital levels and re-dose accordingly
People who cannot absorb B-12 will need regular injections since your body needs B-12 to function properly
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doi: 10.1038/nprot.2012.024
