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It is available through compounding pharmacies for investigational and clinical off-label use, but it should only be sourced through a licensed, reputable compounding pharmacy under physician oversight

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Yes, a follow-up visit within 1 to 2 weeks is recommended for most people

Until that point, its use outside of approved clinical trials is not sanctioned by UK regulatory authorities, and the risks of self-administration particularly involving home reconstitution of an unregulated product far outweigh any potential benefit