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Hi Marianne, almost certainly yes

For individuals allergic to hydroxocobalamin, other alternative forms may be suitable, such as cyanocobalamin, methylcobalamin, adenosylcobalamin (also known as dibencozide), as well as oral vitamin B12 supplements which are available in various formulations like capsules

Prognosis The prognosis for cases diagnosed early in the disease and with no involvement of the central nervous system is generally favorable

+ L-Carnitine A naturally occurring amino acid which plays a vital role in the metabolism of fats

Growth hormone stimulates hepatic IGF-1 production by binding to growth hormone receptors on liver cells, triggering intracellular signaling through the JAK2/STAT5 pathway that upregulates IGF-1 gene expression

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