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Table 2: Metformin Monotherapy vs

Benefits: Improves the appearance of even skin tone and texture

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A narrow therapeutic index means small changes in serum drug levels can shift a patient from euthyroid to hypothyroid or hyperthyroid status

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Because Ipamorelin is structurally optimized to ignore secondary anterior pituitary channels, it drives secretagogue activity without cross-activating parallel stress hormone axes, maintaining a clean baseline for cortisol and prolactin tracking