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Stopping and starting again requires a dose escalationfrom the lowest dose (0.25 mg weekly) back up to the maintenance dosewhich can take several months

Glycaemic control improvements are particularly relevant for patients with type 2 diabetes or prediabetes

Initial Phase: Most patients start with 2-3 injections per week

Sermorelin acts quickly and tracks the natural rhythm of your own GHRH release

Maintaining improvements long-term requires either continued use or transition to lifestyle interventions that sustain AMPK activation (resistance training, caloric cycling)