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It is the C-terminal tripeptide sequence of alpha-MSH, a naturally occurring peptide involved in inflammatory regulation and immune signaling

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Then the NICE guidance say (as arbitrary it is on many areas e.g treatment frequency) says: "Maintenance treatment with hydroxocobalamin 1 mg intramuscularly every 3 months for life where B12 deficiency is not thought to be diet related

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In fact, many minor meniscal tears can heal on their own with the right care and patience