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Slow titration is especially important with compounded formulations because concentration accuracy can vary slightly between batches

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[1] [2] Neurological protection: Prompt B12 replacement prevents irreversible neurological damage in deficiency states, including subacute combined degeneration of the spinal cord

Rare conditions like autoimmune lymphoproliferative syndrome (ALPS) have been linked to these changes, although overall evidence is limited 9

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- Genotropin (Pfizer): 36 months refrigerated for the GoQuick pen