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This synthetic peptide represents the C-terminal domain of human growth hormone (amino acids 176-191), a region identified with lipolytic and anti-lipogenic properties in early hGH research

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As a general clinical principle: Retest HbA1c no sooner than three months after commencing B12 replacement therapy, and ideally once haematological recovery has been confirmed Confirm haematological recovery normalisation of MCV and haemoglobin before interpreting the repeat HbA1c as reliable Use interim glucose monitoring such as fasting plasma glucose, OGTT, or self-monitored blood glucose (SMBG) to assess glycaemic control during the treatment period

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It also works via a secondary mechanism in which it helps to move fat via stimulation of the CNS and adrenal glands 4