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The standard dosing schedule is: Weeks 14 : 0.25 mg once weekly (initial dose) Weeks 58 : 0.5 mg once weekly Weeks 912 : 1 mg once weekly Weeks 1316 : 1.7 mg once weekly Week 17 and onward : 2.4 mg once weekly (maintenance dose for adults and pediatric patients aged 12 years and older) This gradual increase reduces the risk of side effects like nausea and ensures the body adapts to the medication

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Higher baseline testosterone, prolactin normalization, smaller initial tumor size, absence of cystic components, absence of visual field or ACTH deficits at diagnosis are related to the ability of the gonadal axis to recover (61)

& Omalley, B

Weeks 48: Many people begin to notice subtle shifts in their energy levels, skin clarity, and overall resilience