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Thus, due to the nature of the original diagnostic criteria for GHD, and the reticence to consider aging a disease per se, even though disease risk, incidence and severity can be attributed at least in part to declining activity of the GH neuroendcrine axis, the criteria for determining if secretagogue therapy is indicated as an intervention in aging, are less stringent than those promulgated by Endocrine Society guidelines

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Keywords: 80 and over, aged, cyanocobalamin therapeutic use, dizziness, general medicine, proprioception disorders, rural, subacute combined degeneration, vitamin b 12 deficiency Introduction Subacute combined degeneration (SCD) of the spinal cord is a neurological disorder, primarily caused by vitamin B12 deficiency [1]

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Medvidovic-Grubisic et al., 2017), stroke (Vukojevic et al., 2020), and spinal cord injury (Perovic et al., 2019))