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Tracks both protocol efficacy and excess GH exposure (elevated IGF-1 above age-adjusted ranges warrants dose adjustment) Fasting glucose and insulin (HOMA-IR): GH is counter-regulatory to insulin

FDA-approved peptide medications may include: Semaglutide GLP-1 receptor agonist used for diabetes and medical weight management Tirzepatide Dual GLP-1 and GIP receptor agonist used for diabetes and weight management Liraglutide GLP-1 receptor agonist used for diabetes and weight management Tesamorelin Growth hormonereleasing hormone analog approved for HIV-associated lipodystrophy Bremelanotide (PT-141) Approved for hypoactive sexual desire disorder in premenopausal women Compounded Peptide Therapies In certain clinical situations, compounded peptide therapies may be considered

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