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Your provider should: Evaluate your medical history and current health status Order baseline lab work (IGF-1, metabolic panel, hormones) Determine an appropriate starting dose Monitor your progress with follow-up labs and consultations Adjust your protocol based on your response Be proactive in communicating with your provider about your response, any side effects, and your treatment goals

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Synergistic Effects of B Vitamins While each of these B vitamins plays a distinct role in nerve health via a unique mode of action and cannot replace each other in specific biochemical pathways, their synergistic effects are particularly noteworthy [10,13]