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Huanglian Jiedu Decoction (HLJDD), (cognitive deficits and reduced A accumulation and modulated gut dysbiosis) ameliorated memory deficits, reduced amyloid burden, improved gut microbiota composition, reduced pro-inflammatory markers (IL-6, IL-1), and enhanced antioxidative enzymes (SOD, IL-4) (Gu et al., 2021)

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Medications : Certain medications, like metformin (for diabetes) and proton pump inhibitors (for acid reflux), can interfere with B12 absorption

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Individuals recovering from bariatric surgery , where nutrient malabsorption is common

This may possibly suggest that the introduction of the peptide may have caused a proliferation of somatotroph cells, which are the natural cells with GH-producing potential in the pituitary gland