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Tesamorelin is a synthetic analog of growth hormone-releasing hormone (GHRH), developed to stimulate the pituitary gland to increase endogenous growth hormone (GH) production
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Weeks 2-3 This is where the first clear "it's working" signals appear particularly for pain and gut symptoms
In addition to improving systemic and renal haemodynamics, they stimulate erythropoiesis leading to improved oxygenation of ischemic tissues and shift cardiac metabolic substrate utilization from glucose to ketones
Topical NSAIDs (such as ibuprofen gel) provide effective localised pain relief with minimal liver impact, whilst non-pharmacological approaches like physiotherapy, heat therapy, and weight management are safe and beneficial
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