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Sermorelin operates by binding to specific receptors in the pituitary gland, stimulating the production and secretion of endogenous human growth hormone (hGH) [5, 6]

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One frequently discussed strategy involves a "quarter-dose" approach, where patients begin with approximately 0.625 mg (one-quarter of the 2.5 mg starting dose) and gradually increase over an extended period

Medications such as semaglutide, tirzepatide, phentermine, and topiramate can help patients develop a more structured eating pattern before their operation

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