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The British National Formulary (BNF) states: For people with neurological involvement Initially administer hydroxocobalamin 1 mg intramuscularly on alternate days until there is no further improvement, then administer hydroxocobalamin 1 mg intramuscularly every 2 months

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This is a recognized, dose-related effect across the GH secretagogue class rather than something specific to CJC-1295's chemistry