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Start sermorelin alone for 90 days

SURMOUNT trials showed tirzepatide users lost 22% of body weight versus 16% for semaglutide at comparable doses, though individual variation is significant

Side Effects and Precautions Known Risks (Animal Studies + Anecdotal Reports) Potential for over-stimulation of neurogenesis , which is beneficial short-term but may carry unknown long-term risks Some users report: Mild headaches Irritability or emotional blunting Temporary insomnia if taken late in the day Theoretical Risk: Tumor Growth

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If side effects remain severe, your prescriber can adjust your timeline or discuss alternative medications