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Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required

Because great skin isnt about shortcutsits about the right science, done right

Or you could have some other disorder that can be addressed

Researchers have observed upregulation of growth hormone receptor expression in tendon fibroblast cell lines a finding that has generated further mechanistic inquiry