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Common Side Effects Patients may experience gastrointestinal issues like nausea and vomiting
Given the variation between manufacturers guidance sheets, practitioners are better served treating these as a starting range to be confirmed against their specific suppliers documentation and their own training, rather than a fixed prescription
High doses of sugar throughout the day send blood sugar levels on a rollercoaster that should optimally remain relatively stable
At minimum: IGF-1 every 4 weeks, fasting glucose and insulin every 2 weeks initially (monthly once stable), HbA1c every 6 weeks, liver enzymes monthly, and comprehensive metabolic panel quarterly
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