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doi: 10.1016/j.ajps.2017.01.003

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DOI: 10.1016/j.psyneuen.2009.04.015

treatment often starts with an aggressive loading dose of 1000 mcg injections several times a week before tapering to monthly or bimonthly shots once levels stabilize

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In many cases, this excess often signals underlying medical conditions such as liver disease, certain cancers, or blood disorders 3