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Long-term effects are unknown

The reason the who should avoid list is framed so broadly is not boilerplate caution

KPV is a synthetic analog of alpha-melanocyte-stimulating hormone

GH release peaks during deep sleep, and eating within two hours of injection blunts the response significantly

Start: Begin at 2.5 mg once daily for the first 12 days to gauge tolerability

The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences