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Limitations of article search and selection From the systematic review itself, although over one million initial results were produced, more search terms could have been included, specifically brand names of the GLP-1 RA medications and specific names of surgeries or procedures

Development of auto-antibodies Some cobalamin preparations in rare cases can stimulate an allergenic response where there is development of antibodies to the cobalmin injected

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Selective GH stimulation thats commonly discussed as having minimal spillover into other pituitary hormones in research settings