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Serum B12 alone can be misleading, while methylmalonic acid levels offer a more accurate assessment of whether the body is utilizing available B12
[7] [9] Patients with a history of oxalate nephrolithiasis (kidney stones) or hyperoxaluria should avoid high-dose vitamin C administration, as ascorbic acid is metabolized to oxalate, which may precipitate stone formation or exacerbate renal impairment
Two main classes act on the somatotropic axis: GHRH analogs, which stimulate GH release at the pituitary level, and GHRP secretagogues, which activate ghrelin receptors
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