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Usually, people start with a low dose to reduce possible side effects, and then slowly increase the dose over time

124 However, an analysis of 62 SRL-resistant acromegalic patients indicated better IGF1 normalization with pegvisomant monotherapy compared to combined pegvisomant/SRL treatment

However, the full benefits, such as improved energy levels and nerve function, may take a few weeks or longer, depending on the individuals condition

All funding is paid to her institution

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