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This gives a more sustained prompt for growth hormone production compared with a series of short spikes
However, 15% to 20% of ER+ tumors are intrinsically resistant to endocrine treatment while 30% to 40% of ER+ tumors develop endocrine resistance to this class of drugs throughout treatment [9, 10]
B12 supplementation is particularly relevant because GLP-1 agonists can reduce B12 absorption over time
These nerve-related changes can occur even without anemia being present, which means standard blood counts alone may not catch a developing deficiency
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