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Nausea and vomiting are super common, especially when you first start or increase your dose

What if harm is being done? says Cushman

Unlike full hGH, it does not elevate IGF-1 levels, making it a potentially safer alternative for fat reduction

Regardless, you can imagine using a patients genetics to identify which drugs they would respond best to, and this information would more precisely set their expectations and make them more willing to persist with treatment, which is a great way to boost retention (and adherence)