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Sermorelin prescribed for growth hormone optimization (rather than diagnostic testing) is off-label use of an approved drug
Yes, GLP-1 receptor agonists are commonly used alongside metformin and can also be combined with insulin, often allowing lower insulin doses and reducing weight gain
Many people hesitate to reach out, assuming their symptoms are normal or not wanting to bother their provider
So if any preservative was added to the solution, it may very well be the cause of any side effect
Biochem Pharmacol 58:17651773
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