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A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented

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Pickart and Margolinas 2018 review in the International Journal of Molecular Sciences reported that GHK-Cu has been shown to modulate the expression of approximately 4,000 human genes, many of which are associated with tissue repair