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For patients with confirmed pernicious anaemia or malabsorption disorders, injectable therapy remains the recommended first-line treatment according to NICE CKS guidance, as oral supplementationregardless of dosecannot reliably correct deficiency in these circumstances

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Pregnant women should avoid it for the same reason.20 Drug interactions: Sermorelin may interact with certain prescription and over-the-counter medicines, including but not limited to glucocorticoids, insulin, muscarinic antagonists (e.g., atropine), thyroid medications, medications that contain or release somatostatin, and aspirin.20 Underactive thyroid: Having an underactive thyroid may interfere with sermorelins effects

"Glutathione: Overview of its protective roles, measurement, and biosynthesis." Molecular Aspects of Medicine, 2009