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For some patients with immune-mediated SFN, IVIG represents an important piece of that comprehensive approach

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Recommended protocol: Washout: 25 to 30 days Starting dose: 2mg weekly Week 5: escalate to 4mg Week 9: escalate to 8mg Week 13: escalate to 12mg based on response This accelerated schedule saves 4 weeks compared to the standard titration

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The issue is that the studies show modest effects, not GLP-1-level effects

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Microdosing is like staying in the shallow end, never fully out of the water but not submerged either

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