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This poor vascularity explains why wrist problems often persist for months or years without proper intervention

Isolated allergy cases are reported, with some successfully treated by desensitisation

This isn't a reason to avoid GLP-1 therapy the benefits are well established but it is a compelling reason to be proactive about your B12 status

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Blood in stool, or black stools

SRS is characterized by proportional IUGR with severe SGA at birth, relative sparing of the brain with close to normal head circumference at birth, severe feeding difficulties in infancy and childhood (which in contrast to Prader-Willi syndrome does not rebound into feeding obsession later in life), postnatal growth retardation and body asymmetry