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Through your first month, your provider tracks how you respond, may repeat labs to see the effect on relevant markers, and adjusts the plan based on real data
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Distributed under the brand names Geref and Geref Diagnostic, it gained FDA approval in 1997 as a treatment for growth hormone deficiency but was discontinued in 2008 not out of concern for safety or lack of efficacy, but because of manufacturing difficulties.2 3 Yet it remains available in compounded form with a prescription from a licensed healthcare provider
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A 2025 narrative review notes that standard animal safety tests have not identified a clear lethal dose at the ranges used in healing studies
