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The early weeks at lower doses may feel frustrating if youre eager for results, but the clinical data strongly supports the payoff at higher doses

These symptoms can lead to weight loss and nutrient deficiencies, due to decreased oral intake and/or tolerance

Calculate volume: Target concentration matters, e.g., for a 5 mg vial, 2 mL bacteriostatic water yields 2.5 mg/mL (easy dosing math)

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Evidence-based guideline: treatment of painful diabetic neuropathy: report of the American Academy of Neurology, the American Association of Neuromuscular and Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation