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Today there is no FDA-approved sermorelin finished product

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Compounded drugs have not undergone FDA premarket review for safety, effectiveness, and quality, and lack a premarket inspection

Local subcutaneous injection near the shoulder if possible, otherwise systemic Optional TB-500: 500 to 750 mcg twice weekly for systemic support Optional GHK-Cu: 200 to 400 mcg daily, added from week three onward for collagen quality Duration: Eight to twelve weeks Critical addition: Physical therapy and progressive loading