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2007;292:E637641

Peer review Peer review information Nature Reviews Chemistry thanks Kazuhiro Chiba, Monika Raj and Meng Gao for their contribution to the peer review of this work

GLOW is not an injury protocol

Why Sermorelin Has a Favorable Long-Term Profile Several pharmacological characteristics contribute to sermorelins safety over time: Self-regulating mechanism: The hypothalamic-pituitary feedback loop prevents excessive GH accumulation Pulsatile release pattern: Mimics natural physiology rather than creating sustained supraphysiological levels No exogenous hormone: The body produces its own GH, maintaining receptor sensitivity No suppression of endogenous production: Unlike exogenous HGH, sermorelin does not suppress the pituitarys own GHRH responsiveness Long-Term Monitoring Recommendations For patients on extended sermorelin protocols, recommended monitoring includes: IGF-1 levels: Checked every 3-6 months to ensure levels remain within normal ranges (typically targeting the upper third of the age-adjusted reference range) Fasting glucose and HbA1c: GH can influence insulin sensitivity