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Joya Van Der Laan, MSN, FNP-BC leads the practice

Benefit 4: Skin Elasticity and Collagen Support Patients losing 30 to 100 or more pounds often worry about loose, sagging skin

The test, adapted from (Cheng et al

Immune cells lose some responsiveness

**Mechanism of Action and Research Applications** Laboratory studies have investigated Ipamorelin's mechanism of action, which involves binding to GHSR-1a receptors in the pituitary gland and hypothalamus, leading to increased growth hormone-releasing hormone (GHRH) activity and subsequent GH secretion

Inclusion criteria selected for patients with a diagnosis of epilepsy, an average of at least 2 seizures per month over the preceding 3 months prior to starting MAD, at least 18 years of age at the time of enrollment, having baseline carnitine lab measurement prior to starting MAD, and at least one carnitine lab measurement at a follow-up timepoint