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[6] By acting as an LH analog, HCG activates the same cellular signaling pathways (cAMP-mediated) that lead to steroid hormone production in the gonads

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Populations at a higher risk of vitamin B12 deficiency include people who are vegetarian or vegan, exclusively breastfed infants of vegan women, older adults, those with gastrointestinal disorders or who have had gastrointestinal surgery, and people with an autoimmune condition known as pernicious anemia