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If neurological symptoms are present, treatment is more intensive: 1 mg on alternate days until no further improvement occurs, then maintenance doses of 1 mg every 2 months

On the average, our patients seem to get the best benefits in the first 6 9 months of treatment

It exerts its effects through multiple mechanisms, including: VEGF receptor modulation (vascular endothelial growth factor)promoting angiogenesis and blood vessel formation Growth hormone receptor interaction facilitating tissue repair and regeneration Nitric oxide pathway activation improving blood flow and reducing oxidative stress FAK-paxillin pathway signaling crucial for cell migration and wound healing Modulation of inflammatory cytokines reducing excess inflammation while preserving healing responses These are cascading processes