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Safety and Monitoring Checklist For either route, track objective data: Fasting glucose and/or A1c IGF-1 labs Blood pressure Fluid retention/edema Joint discomfort or carpal tunnel-like symptoms Sleep quality and recovery markers If stacking GH-axis compounds, increase lab frequency and lower starting doses

What to Track if Menopause Is Part of Why You Are Here Protein, fiber, and water so the day stays grounded even when appetite is low

Garbuzova-Davis S, Haller E, Saporta S, Kolomey I, Nicosia SV, Sanberg PR

H., Unfer, V., & Rasulova, I

"Every now and then I would flush it with hot water, but never really did anything more than that," he says