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Rather than engaging a single high-affinity receptor, the pentadecapeptide modulates multiple intersecting cellular pathways including nitric oxide system signalling, growth-factor receptor expression (notably VEGF receptor 2 and growth-hormone receptor), dopamine and serotonin pathway markers, and angiogenic factor regulation
therefore, it is considered a pentadecapeptide and has a relatively simple and stable structure, which makes it a popular object in research into cellular and tissue healing
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However, do not stop prescribed B12 treatment without medical advice, particularly if you have documented deficiency or pernicious anaemia