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So, we speculate that the change in nutritional status through reductions in dietary intake and intestinal absorption due to gastroenteritis might have been responsible for the rapid deterioration seen in our patient

HHcy is considered a cardiovascular risk factor and could cause microvascular lesions within the CNS leading to the accumulation of motor disability in PwPD

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Cardiovascular disease: Monitor blood pressure due to potential NO interaction Autoimmune disorders: Consider immune modulation risks with chronic peptide use Cancer history: Use with caution due to angiogenesis stimulation Always consult a healthcare provider if you have any preexisting medical condition or take prescription medications

Diabetes Care 42 , S124S138 (2019)