Assessing Iron and Ferritin Stores Iron is another big one
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Patients should contact their GP or diabetes specialist nurse urgently if they experience severe, persistent vomiting that prevents adequate fluid or food intake, as this may lead to dehydration, electrolyte disturbances, and acute kidney injuryparticularly in patients with pre-existing renal impairment or those taking concurrent medications affecting renal function
The authors note that GHSs likely behave as functional somatostatin antagonists while enhancing GHRH-secreting neurons, that their GH-releasing effect is independent of gender but undergoes marked age-related variation, and that their activity is not fully specific for GH: they also produce slight prolactin release and, in Cushing disease, ACTH and cortisol responses
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