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Patients who are experiencing low levels of human growth hormone (HGH) may be prescribed sermorelin acetate

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These medications can sometimes trigger dry mouth, acid reflux, tooth sensitivity, and even enamel wear

Hum Reprod (2017) 32(12):246573

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However, the uncertainty with this is whether it presents a pre-vitamin B12 deficiency or PA, where individuals are not yet symptomatic or are symptomatic but have a serum B12 value within the normal reference ranges