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This extended action increases the risk of side effects seen with prolonged GH elevation: facial flushing, water retention, joint stiffness, and numbness or tingling in hands (carpal tunnel symptoms)

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Nature, 508(7495), 258262

Methionine Methionine is an essential amino acid found in lean meats, dairy, eggs, and nuts

patient also has comorbid obesity with BMI of 38.2 which is expected to improve with GLP-1 therapy" covers both indications while keeping diabetes as the primary treatment rationale