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Investigations are guided by clinical suspicion rather than routine panels: for example, thyroid function tests and ferritin may be checked if symptoms suggest deficiency or thyroid disease, while an androgen profile may be appropriate in women presenting with menstrual irregularity, hirsutism, or acne
For peptide reconstitution, the bacteriostatic water should be added slowly to the lyophilized peptide vial, directed against the glass wall rather than directly onto the peptide cake
Available Compounded Formulations PDA (BPC-157-Arginine) may be compounded in oral and topical dosage forms depending on the needs identified by the prescribing healthcare provider
Because of this, I recommend any patient who is symptomatic and has suboptimal levels of vitamin B12 (as defined above) consider a trial of sublingual B12
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