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Delayed absorption, amplified side effects, and hypoglycemia risk for some patients make moderation essential

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doi: 10.2460/ajvr.71.1.76

A GSL Switch is Unlikely in the Current Climate Despite a recent drive by the Department of Health and Social Care (DHSC) to encourage the reclassification of certain medicines (like those for pain, sleep aids, and skin conditions) to P or GSL status, a switch for injectable B12 is not on the cards

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This suggests that very young PWS children may have impaired hypothalamic GHRH secretion with a normal GH pituitary reserve, which could diminish as they grow older, possibly resulting in insufficient levels of GH (107)