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Minimal benefit for muscle growth since IGF-1 receptors return to baseline without training stimulus

Chronic conditions and post-surgical recovery extend the protocol to 6 to 12 weeks, with practitioner-guided cases running 16 weeks under close monitoring

The B12 dose and treatment regimens need to be adjusted according to the severity of the symptoms and the cause of the deficiency

Based on the low level of serum vitamin B12 coexisting with unexplained proteinuria, the diagnosis of IGS was favored