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Your physician will establish a target IGF-1 range based on your age and sex

Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

10.1080/03007995.2018.1552042 Curr

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Drugs like Zoloft that can damage brain function in these ways can be gradually discontinued, while addressing neurotransmitter rehabilitation