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Phase 1: Establish tirzepatide baseline (weeks 1-4) Start tirzepatide alone at 2.5mg weekly
Cyanocobalamin injections arent routinely available on the NHS
Any exogenous agent with structural homology to hGH deserves scrutiny in this context, even if its receptor-binding profile differs from intact GH
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This is an anecdotal community standard, not an approved or clinically proven protocol
The details about the advantages and disadvantages of each route are present in Supplementary 4
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