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Through the binding with growth hormone receptor on the cell membrane, the action of growth hormone is mediated directly by the activation of tyrosine kinase or indirectly by induction of insulin-like growth factor [12]
Poor absorption can also contribute to deficiency and may occur with digestive conditions such as inflammatory bowel disease, irritable bowel syndrome or coeliac disease

Hepatology 45 , 13061312 (2007)

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