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Trial a higher sermorelin dose (e.g., increase from 200 mcg to 300 mcg nightly) for 4 additional weeks with repeat IGF-1

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In summary IGF-1 LR3 and IGF DES 1,3 have benefits for muscle growth, muscle mass and physical performance but should be used with caution

A randomized trial of 120 women found that fish oil supplementation significantly reduced the frequency and severity of hot flashes compared to placebo over eight weeks [17]