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The most frequently reported benefits across a variety of diseases included improvement in disease symptoms (45.5%), improved sense of well-being (28.8%), decreased frequency of sinus infections (27.3%), and improved energy (24.2%)

Failures of cobalamin assays in pernicious anemia

Cardenas and I co-manage patient selection, dosing strategies, and monitoring

The best candidates are: Adults with striae rubrae or striae albae anywhere on the body Patients who have completed the physical change that caused the marks (post-pregnancy, post-weight loss, stable weight) Anyone with realistic expectations and commitment to completing a full treatment series Patients able to follow aftercare guidelines, including sun avoidance in treated areas Timing matters