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The presence of very high LDH levels and a low reticulocyte count and a relatively milder thrombocytopenia in our patient also favors the cause as pseudo-thrombotic microangiopathy (TMA) caused by cobalamin deficiency over TTP.[5] Although testing for ADAMTS-13 levels would have been ideal if it is available to rule out TTP

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Soothing agents like niacinamide or aloe can also enhance the effects of GHK-Cu while keeping your skin calm

DSIP is administered subcutaneously, just beneath the skin, typically in the abdominal area