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While it is not a controlled substance, and its use is common in clinical and home care settings, federal law mandates that it be labeled and sold as Rx only. Always obtain bacteriostatic water from a licensed and reputable source, and use it strictly as directed under medical guidance

PWS patients seem to be particularly sensitive to GH, as at standard doses they often present IGF-1 levels above the normal limits, in particular in individuals with PWS due to mUPD (128)

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Arch Neurol 67:849854 Echaniz-Laguna A, Zoll J, Ponsot E et al (2006) Muscular mitochondrial function in amyotrophic lateral sclerosis is progressively altered as the disease develops: a temporal study in man

Closing note Thoughtful use, open communication and routine monitoring keep B12 injections useful and safe

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