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Doctors here (state of Maryland, USA) are required to follow the standard of carenot just for PA, but for any condition that has an established standard of care
It's important to have realistic expectations
People with other conditions that cause high ferritin levels may require additional or different treatments
However, scientific research shows that very high-dose oral B12 (1,000-2,000 mcg) can be effective for some, as about 1% can be absorbed without intrinsic factor
Ages 3045: 0.150.25 mg nightly Ages 4660: 0.20.3 mg nightly Ages 61 and older: 0.10.2 mg nightly Weight modifiers: Under 150 lb: reduce dose by 0.05 mg Over 200 lb: increase dose by 0.05 mg Tailoring the Sermorelin Dosage Chart to Your Goals For anti-aging benefits (skin elasticity, sleep quality), aim for lower IGF-1 targets