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Provider-prescribed and monitored for safety and effectiveness

Thyroid: Off J Am Thyroid Assoc (2015) 25(7):83945

Modern agonists add fatty-acid chains and amino-acid swaps that resist degradation and bind albumin, stretching the half-life enough for weekly dosing (PMID 31050435)

That last part is the reason sermorelin is generally considered safer than injecting growth hormone directly

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