Fagelman and Delita have always been available and accommodating to me, and anyone i have referred to his office
However, these modalities have demonstrated variable benefit and, due to inconsistent outcomes and tolerability constraints, have not achieved a consensus recommendation 26,32,33,34,35,36,37,38
The problem: very short half-life (~50 minutes) and 3 daily injections at meals , an extremely impractical regimen
Tesamorelin is not primarily a sleep-inducing peptide, and its effect on sleep has not been extensively studied
An easier alternative is to opt for a vitamin B12 supplement
The hypothesis here is that by incorporating a short-acting compound like Sermorelin and potentially cycling the protocol, a researcher could maintain better receptor sensitivity over the long term