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Mecasermin is the compound a 503A or 503B compounding pharmacy can dispense and only with a prescription and a clinical indication

As noted previously, I believe these patterns also suggest that a dosage regimen of hCG 250iu-350iu on an every other day (QOD) schedule would likely offer an alternative regimen for moderate, relatively steady and consistent testicular stimulation, although more data would be needed to confirm this conclusion