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Signs of hormonal improvement during peptide therapy include more regular menstrual cycles, clearer luteal phases, reduced pelvic pain, improved libido, and better energy levels

It could facilitate targeted delivery while improving bioavailability and enhancing tumor specificity

The typical regimen involves: Loading dose for patients without neurological involvement : Hydroxocobalamin 1mg intramuscularly three times weekly for two weeks [13] [10] Loading dose for patients with neurological involvement : Hydroxocobalamin 1mg on alternate days until no further improvement, then Maintenance therapy : 1mg every two to three months (or every two months if neurological involvement) Lifelong maintenance therapy is necessary for irreversible causes such as pernicious anaemia or following gastric surgery