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Anderson discusses Sarahs dietary habits and discovers that her occasional alcohol consumption is coupled with a diet that lacks certain essential nutrients, including Vitamin B12

Liver Disease and Endocrine Versus Paracrine/Autocrine IGF-1 Production In children with severe liver disease, there may be similar discrepancies between circulating endocrine levels of IGF-I and IGF-I activity in peripheral levels contributed by paracrine/autocrine secretion of IGF-I (94)

However, the relationship is indirect and complex

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