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Some patients may benefit from cycling the treatment (e.g., 5 days on, 2 days off) or adjusting injection timing for better results

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However, almost none of the claims made online for reversing ageing, greatly extending lifespan, growing muscle rapidly and/or repairing injuries overnight are backed up by high-quality, long-term data, explains Dr Farhan Abdullah, an internal medicine physicist and Medical Director of Magnolia Functional Wellness in Southlake, Texas

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For patients with neurological involvement, 1 mg is given on alternate days until no further improvement, then maintenance doses of 1 mg every two months

Some patients benefit from proton pump inhibitors during the initial titration phase