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Alimentary lymphoma Sixteen percent of dogs with multicentric lymphoma have hypocobalaminemia, and this finding is associated with a poor outcome.68 A higher rate of hypocobalaminemia (40% and 71%) is seen in dogs with low‐grade (lymphocytic) GI lymphoma.126, 127 It is presumed that the hypocobalaminemia in dogs with lymphoma is a consequence of the ileal infiltration with neoplastic lymphocytes hypothetically resulting in a disruption of the receptor‐mediated GI uptake of cobalamin.68 4.3.4

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For those exploring GH-axis peptides, our dosing calculator can help estimate weight-based dosing parameters, and our guides to related peptides including sermorelin and tesamorelin provide context on alternative approaches to GH augmentation