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Work with your diabetes team to optimise your glucose control and adjust other medications if needed

The CJC-1295/Ipamorelin combination hits two receptors at once GHRH (extended) plus GHSR (clean pulse) producing larger and longer GH elevations than either peptide alone, and substantially more than Sermorelin

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Forcing the next dose increase while still symptomatic nearly always makes things worse and can lead to protocol abandonment, which defeats the entire purpose of careful titration

High-dose B12 supplements, even 1,000 mcg daily, are generally safe because the body uses what it needs and excretes the rest