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Initial dosing typically begins at 2.5 mg once weekly for four weeks as a treatment initiation dose to improve gastrointestinal tolerability

Hydroxocobalamin or methylcobalamin are preferred alternatives in such cases

Mechanisms of Disease: metabolic effects of growth hormone and insulin-like growth factor 1

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Though Medicare Part D Prescription Drug plans cover a variety of medications, there are certain types of drugs that are excluded from coverage under the Medicare Part D program

For instance, hydroxycobalamin is stored in the body longer than cyanocobalamin, reducing the need for frequent injections