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Aging (over 40)

Therefore, part of the increased energy intake observed in the luteal phase may represent a compensatory physiological response to elevated metabolic demands rather than purely hedonic overconsumption

Unexpected IGF-1 elevation: As noted, this is a red flag for product contamination

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Nausea is the most frequently reported side effect, affecting 40 to 50 percent of patients at some point during treatment, typically during dose escalation

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