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Pregnant or breastfeeding women who suspect B12 deficiency should have their levels tested by their prenatal care provider, who can recommend the appropriate supplementation route and dosage

For appetite considerations: Because ipamorelin acts on the ghrelin receptor, some ghrelin-mimetic effects (including mild appetite stimulation) are theoretically possible, though ipamorelin is considered relatively mild on this front compared with GHRP-6

Nevo, A

Another key point: stopping therapy leads to regain in most people, which argues for getting to and staying at an effective maintenance dose rather than hovering at subtherapeutic levels

But if someone stays at that starting dose, that would count as microdosing