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As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI

None of this makes the mechanism uninteresting

But are they safe

I have shifted to Pascoe, and they are almost pain free

By merging these analogs, researchers aim to explore how their complementary mechanisms may provide a broader perspective on growth hormone modulation