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Weeks 1-8 (highest risk period): GI side effects are at their peak during initial dose escalation

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Who Its For: Patients with age-related GH decline Individuals with poor sleep, low libido, or fatigue Those looking to avoid synthetic hormone replacement Sermorelin Benefits: Boosts natural GH production Supports muscle mass retention Improves sleep quality and recovery Helps with body composition changes Slows signs of skin aging Sermorelin is ideal for patients who want a gentler, natural approach to growth hormone optimization

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Notably, once a patient transitions to combination injectable therapy, the ADA recommends the addition of a GLP-1 receptor agonist for patients who require improved postprandial glycemic control despite basal insulin optimization

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