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Fibromyalgia patients with growth hormone deficiency plus low levels of insulin-like growth factor-1 (IGF-1, a peptide hormone released by the liver in response to growth hormone) have been found to benefit from growth hormone replacement therapy in clinical trials

Follow-up care involves monitoring B12 levels at intervals determined by your doctor (typically 3-6 monthly initially) and treating any identified underlying conditions

After 28 days, the risk of microbial proliferation increases to a level that is no longer considered acceptable for pharmaceutical preparations

Baguley DM, Caimino C, Gilles A, Jacquemin L