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If after a reasonable period of time there is a lack of satisfactory clinical response, dexamethasone sodium phosphate injection USP should be discontinued and the patient transferred to other appropriate therapy

However, this therapy is not indicated for men with age-related declines in testosterone alone, and its safety and efficacy have not been established for so-called late-onset hypogonadism in older males

Or can I just use .25mg peptide to start

Almost anyone with a confirmed B12 deficiency, absorption challenges, or wellness goals can consider home injections

The Pernicious Anaemia Society notes this is well documented but poorly understood, and that some patients self-inject more frequently