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Patients commonly report: Persistent fatigue and weakness Breathlessness, particularly on exertion Palpitations Pale or jaundiced skin These symptoms reflect the development of megaloblastic anaemia, where red blood cells become abnormally large and dysfunctional

The peptide works through several mechanisms: it upregulates growth factor expression (particularly VEGF), promotes angiogenesis (the formation of new blood vessels at injury sites) [5,12] , modulates the nitric oxide system, and supports the FAK-paxillin pathway, which governs cell migration to damaged tissue

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