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Laboratory work-up showed pancytopenia, macrocytosis, acute kidney injury, a high serum folate level of 20 ng/ml and a vitamin B12 level of 127 pg/mL (Table 1)

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It is a 29-amino acid polypeptide representing the 129 fragment from endogenous human GHRH, thought to be the shortest fully functional fragment of GHRH

However, in one case, psychotic symptoms and seizures recurred despite continuous cyanocobalamin replacement therapy after the discontinuation of antipsychotic and antiseizure medications [90]

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