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The mechanism here is difficult to determine, however presumably stems from an increased production of transcobalamin II (22-24)

A 2014 paper in the International Journal of Colorectal Disease reported a Phase 2 randomized controlled trial of ipamorelin for the management of postoperative ileus in bowel-resection patients, providing one of the few human-clinical-trial datasets for this class of molecule (PMID 25331030)

Sorrentino V, Romani M, Mouchiroud L, Beck JS, Zhang H, DAmico D, et al

This is why a transparent conversation with a qualified medical provider is so important