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When GHSR is stimulated, it triggers intracellular signaling that cues the pituitary to release growth hormone (GH) in a pattern that more closely resembles the bodys normal pulsatile secretion , rather than providing GH directly

When injected subcutaneously, the absorption bypass makes the conversion issue less relevant since the B12 enters the bloodstream directly, bypassing the gut entirely

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LC serves as an intra-mitochondrial vehicle for the acyl group, which in the form of acyl-CoA acts as a substrate for the oxidation process, producing energy for sperm respiration and motility [7, 8]