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Further work is needed to explore consequences of long-term use of these medications, ideal insulin deprescription protocols, and strategies to alternatively dose these medications around ongoing shortages

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Stacking with GHRH (e.g., CJC-1295) To increase the amplitude and duration of GH release, many users stack Ipamorelin with a growth hormone-releasing hormone (GHRH) like CJC-1295 without DAC

Clinicians should consider integrated plans that include nutritional counselling and exercise recommendations alongside pharmacotherapy

A: Both can cause reflux due to the same mechanism (delayed gastric emptying)