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Injections of B12 are useful in such cases

Some cancer treatments can harm the gut, making it hard to absorb B12

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(PubMed) Smith AD, Smith SM, de Jager CA, et al

GH and Cytokine Crosstalk STAT5b phosphorylation is also mediated by activation of other members of the cytokine receptor family and has an impact on immunological function: this is evident from the finding of immune deficient symptoms in children with STAT5b genetic defects (98) but these are not found in GHD and GHIS children
