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In hemodialysis patients with severe secondary hyperparathyroidism, Urea et al., observed that hematocrit values correlated more strongly with serum IGF-1 levels than with serum EPO levels.125 Interestingly, residual hematopoietic function has been observed in some anephric patients, suggesting the involvement of stimulators beyond renal EPO

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The true duration isnt just about how long you feel a boost, but how consistently your B12 levels are maintained within a healthy range