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Native rhIGF-1 (mecasermin, brand name Increlex) is FDA-approved only for the long-term treatment of growth failure in pediatric patients with severe primary IGF-1 deficiency or with GH gene deletion who have developed neutralizing antibodies to GH

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If your bloodwork shows declining B12 levels despite the compounded formulation, your prescriber may recommend additional oral or sublingual B12 supplementation