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Lab Tests and Professional Follow-Up Every 3 months, check: IGF-1 and IGFBP-3 (GH bioactivity) Fasting glucose and HbA1c (insulin sensitivity) Thyroid panel (TSH, free T3, free T4) Cortisol (if fatigue symptoms persist) Work with an endocrinologist to interpret labs and fine-tune your sermorelin dosage

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