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The medication significantly slows gastric emptying, which is central to its therapeutic mechanism but may potentially alter the normal digestive processes required for B12 liberation from food proteins and subsequent binding to intrinsic factor

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This is another issue of concern with long-term use of melanocortin agonists [60,61]

This safety profile contrasts sharply with full growth hormone, which carries risks of diabetes development, acromegaly (abnormal tissue growth), increased cancer risk, hypertension, and other systemic effects

The suture is completed by means of separate Quick stitches