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Detection methods include mass-spectrometry-based urine and blood assays that can identify exogenous IGF-1 analogues by their structural differences from endogenous hormone [21]

D., Ley, S

This recent study identifies an miRNA that targets CPT1A as a potential biomarker for therapy

Others wont, they simply may not know that diagnosing B12 deficiency for the person is key to being able to access B12 from their GP as there is usually a lifelong need and having regular B12 injections from a private clinic would may not be financially sustainable