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Nancy Mayer, DO 1 , Matthew Sutherland, DO 1 , Suchitra Muralidharan, MB, BS 2 , Dhaval Patel, DO 3

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Typical adult off-label daily doses range from 0.1 mg (100 mcg) to 1.0 mg (1000 mcg), often 0.2-0.3 mg (200-300 mcg) for general wellness

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Introduction Malignant melanotic nerve sheath tumors (MMNSTs) are rare neoplasms formerly known as melanotic schwannoma [1] and sometimes melanotic malignant peripheral nerve sheath tumor (MPNST)