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The peptide stimulates fat cells to break down stored triglycerides, releasing free fatty acids into the bloodstream where they can be used as fuel

Without intrinsic factor, B12 cannot cross the gut wall, and red blood cell production, nerve maintenance, and DNA synthesis all suffer

Jun 2017;127(6):1451-1458

So, the tests you will be asked to get done are- a complete blood count to check if you have any type of anaemia, reticulocyte count to see how many new blood cells are being made in the body, serum bilirubin levels which tell how many cells are being lost as bilirubin is a byproduct of blood cell breakdown and checking amounts of homocysteine and methylmalonic acid higher values of which confirm B12 deficiency

Treatment with rhGH do not improve growth in these cases while rhIGF-1 is efficient in SPIGFD and approved by FDA and EMA