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Because it affects growth hormone signaling, patients should review their health history, medications, symptoms, and treatment goals with a qualified provider before use

Physical therapy can help relieve symptoms and prevent further damage

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The vitamin B-12 is then exported into the portal circulation where it is bound to the transport protein, transcobalamin, which delivers the newly absorbed vitamin B-12 to all tissues of the body where it is taken up by receptor-mediated endocytosis