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Confirm vial strength: Because dosing is by total blend, your unit count depends on whether the vial is 20 mg or 10 mg total check the label before every cycle

Similarly, tests for nutritional deficiency including multiple tests on vitamins and metabolites are not necessary

In addition, stress, excessive exercise (ie, more than one hour of high-intensity exercise daily), and some medications are possible causes of hyperprolactinemia

Split dosing may help if: single morning dose produces effects that fade by afternoon, you are using higher doses (450-500mcg) where sustained levels may help, or evening administration fits your schedule better than early morning

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