Discussion Solitary pigmented melanocytic lesions of the oral mucosa include MM, MA, melanocytic nevus, atypical melanocytic hyperplasia/proliferation, and melanoma (2)
1995, New York: McGraw-Hill, 749-795
For those with confirmed growth hormone deficiency, the appropriate pathway remains referral to an NHS endocrinologist for formal assessment, biochemical testing, and, where indicated, initiation of licensed somatropin therapy under NICE TA188 criteria
Step up every 4 weeks 4, 6, then 9 mg toward a target of 912 mg
Especially when MCAS (Mast Cell Activation Syndrome) is present
A scale cannot tell you whether you are losing fat or muscle