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They also reported a segmental breakdown of the myelin sheath

Subacute combined degeneration of the spinal cord, though rare, represents a serious complication requiring urgent treatment

Good on you for your hilly 4 mile walk

Studies demonstrate that GHRP-2 functions both as a direct pituitary GHS-R1a agonist and as an indirect promoter of hypothalamic GHRH release a dual mechanism shared by the GHRP class that distinguishes these peptides from GHRH analogues alone and underlies the scientific rationale for GHRH + GHRP combination research models

It just goes to show that the 'B12 deficiency is unlikely in someone so young' is probably right most of the time, but not always