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Pt with total gastrectomy or ileal resection

NEJM 1978 299: 785-92' Garcia-Minguillan etal

Together, these compounds are studied for their effects on endogenous GH pulsatility, IGF-1 signaling, visceral fat metabolism, body composition, muscle density, and recovery-related pathways

This means that there is an excellent chance that any cat or kitten is already infected at the time of adoption regardless of whether the cat is showing any symptoms