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They have what we call fat-loss resistance, says functional-medicine practitioner Arianne Missimer, DPT, RD, LDN

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Women using estrogen-containing contraceptives or hormone replacement may need slightly higher Sermorelin doses as estrogen increases growth hormone binding proteins, potentially reducing free hormone availability despite normal secretion

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It requires complicated math and conversions, she says

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At the compounded level, the $50 per month difference between InjectCos semaglutide and tirzepatide programs is small enough that the right clinical choice usually matters more than the price difference

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