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[8] Early small-scale research suggested it may stimulate lipolysis (the breakdown of fat) and inhibit lipogenesis (fat storage), with preliminary data indicating it may not significantly affect blood glucose or insulin-like growth factor-1 (IGF-1) levels

however, SHP was not necessary for changes in body weight, glucose homeostasis or hepatic levels of triglycerides 35

These symptoms typically improve after dose escalation stabilises, usually within 4-6 weeks

Compounding pharmacies work under different conditions with different formulations and are governed by USP guidelines that typically result in more conservative beyond-use dates