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Chronic pancreatitis can come from repeated episodes of acute pancreatitis, but some patients with risk factors such as chronic cigarette smoking or regular alcohol use may develop chronic pancreatitis without ever having an acute pancreatitis attack

[1] Because it sticks to GHSR-1a and not to the receptors that drive stress hormones, it does not raise cortisol or prolactin much

If you trust the pharmacy and the prescribing clinician, the clinical outcomes are equivalent