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Note that all medications on the treatment menu at EllieMD are compounded and prepared through 503A pharmacies

Step 2: Gradual Dose Escalation Treatment begins at a low starting dose, typically around 0.25 mg per week, increasing gradually every 4 weeks toward a maintenance dose often in the range of 1.7 mg to 2.4 mg weekly, depending on individual response and tolerance

But this does not fully offset the energy impact of losing lean tissue, especially if protein intake is inadequate and resistance training is absent

Many people without a formal deficiency still experience low energy due to stress, diet, or lifestyle factors