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Discuss with your prescriber whether your results at 2.5 mg justify remaining at this dose or whether escalation would benefit you
Step 1: Understand the Denial Reason Request the written denial notice and identify the specific reason
The evidence supports iron (targeting ferritin above 50 ng/mL), zinc (15-30mg daily), vitamin D (2,000-5,000 IU daily), biotin (5,000mcg daily), a B-complex, and adequate protein (1.0-1.6g per kg body weight)
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In addition, 21-deoxycortisol likely produces clinically relevant cross-reactivity for cortisol in patients with 21-hydroxylase deficiency, while 11-deoxycortisol may produce clinically relevant cross-reactivity in 11-hydroxylase deficiency or following metyrapone challenge
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