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GH secretagogues (GHRP-2, Ipamorelin): Fasting insulin and IGF-1 should be checked at baseline and after 8-12 weeks

Regular Physical Activity : Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity activity per week, along with muscle-strengthening exercises on two or more days a week

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Unexplained side effect changes, inconsistent appetite suppression, or unexpected medication effectiveness fluctuations warrant a provider conversation