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A standard evaluation includes IGF-1, a complete metabolic panel, thyroid function, fasting glucose, and a hormonal panel appropriate for the patients cycle status
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The pivotal trials by Falutz et al
[20] For nutritional deficiency without intrinsic-factor loss, shorter courses-such as 30-100 mcg intramuscularly daily for five to ten days followed by 100-200 mcg monthly-are often sufficient
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