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19 Patients were included if they failed to respond to conventional therapy

Week 1 Add Dapsone 25 mg per Day and Folic Acid Support *Dapsone 25mg once per day will be added to the prior regimen along with folic acid support to help reduce dapsone induced anemia *Leucovorin (folinic acid) 25 mg, two twice per day *Xaquil XR (L-methyl folate, Xymogen) two twice per day

Can be used AM and PM

Unlike some other GHRPs, Ipamorelin exhibits a high degree of selectivity , meaning that its effects are largely confined to GH regulation without significant increases in ACTH (adrenocorticotropic hormone) or cortisol levels