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doi: 10.1016/j.dsx.2018.03.002 94 OrskovCWettergrenAHolstJJ

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Patients should monitor their blood sugar as usual and ensure they have eaten appropriately before their appointment, unless specifically instructed to fast

Combining two agents would likely amplify these effects substantially, making the treatment less tolerable and potentially unsafe

Child-Pugh C patients (score 10 to 15) should generally not receive ipamorelin outside a monitored research setting, because unpredictable GH surges in severe cirrhosis could worsen insulin resistance and fluid retention

If you have a digestive condition, it is worth discussing vitamin status with a healthcare provider