The solution is not to force down large portions
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The combination of basal insulin with GLP-1 RA results in greater glycaemic lowering efficacy than the mono-components, with less weight gain and lower rates of hypoglycaemia than with intensified insulin regimens, and better gastrointestinal tolerability than with GLP-1 RA alone [214, 215]
The combination can precipitate severe hyperthermia, muscle rigidity, and even death, so clinicians will avoid MB in patients on serotonergic psychiatric medications (or will stop those medications well in advance of giving MB if its needed emergently)
Unlike direct HGH injections, sermorelin doesnt replace hormones