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Metabolic monitoring: Because tesamorelin strongly stimulates GH, IGF-1 should be monitored periodically and blood glucose watched in patients with diabetes [6]

Initially, treatment often begins with a lower dosage, which is then adjusted based on individual responses and progress

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Full details for each method are provided in the Supplementary information section (Supplementary Methods)

Common signs and symptoms include: Fatigue and weakness Paleness Shortness of breath Dizziness or lightheadedness Tingling or numbness in the hands and feet Difficulty walking or balance problems Memory problems or confusion Mood changes, such as depression or irritability Glossitis (inflammation of the tongue) Mouth ulcers Changes in vision If left untreated, vitamin B12 deficiency can lead to more severe complications, including nerve damage, neurological problems, and anemia

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