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Bisgaard TH, Allin KH, Keefer L, Ananthakrishnan AN, Jess T

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When to Pause or Adjust the Protocol Communicate with your physician if: GI side effects from your GLP-1 medication aren't improving after three to four weeks You experience persistent water retention or joint discomfort from Ipamorelin Your lab results show IGF-1 above the reference range You're losing weight too rapidly (more than 3 to 4 pounds per week consistently) You develop any new or concerning symptoms Frequently Asked Questions Can I start both peptides at the same time to save time

Sikiric et al., 2012