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This aligns with the clinical consensus that bypassing the gut and forcing high concentrations of unmethylated B12 into the tissues is a necessary intervention for overcoming post-viral energy crises

In this review, the effect of peptides as gastrin, somatostatin, and ghrelin, all released by endocrine cells in the stomach, and of motilin, CCK, GLP-1, PYY and 5-HT, secreted in the duodenum, was summarized