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If folate deficiency is suspected, it is reasonable to give oral folic acid (0.4 1 mg/day) without doing laboratory investigation for deficiency at least until the hemoglobin and mean corpuscular volume normalizes (or longer if the underlying cause cannot be eliminated)

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Lyophilized peptides arrive as freeze-dried powders in sealed glass vials, filled under aseptic conditions and shipped at temperatures suitable for peptide stability

The right option depends on the patients symptoms, goals, safety needs, and provider recommendation