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It stimulates the pituitary gland to produce and secrete endogenous growth hormone through natural pulsatile patterns, distinguishing it mechanistically from exogenous GH administration

These points can send pain to other areas, making it hard to figure out whats wrong and how to fix it

Less threatening reaction to B1 include anxiety, pruritus, respiratory distress, nausea, abdominal pain

25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present