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For context, COVID deaths peaked at 450,000 annually and are now ~90% lower than peak
Sermorelin should not be expected to raise IGF-1 into the normal range in patients with untreated or under-treated hypothyroidism (TSH above 4.5 mIU/L)
The key is that phentermine works best when paired with balanced nutrition, physical activity, and healthy habits not as a stand-alone solution
Additional precautions may include extended fasting periods beyond standard protocols, preoperative ultrasound to assess gastric contents, and consideration of rapid sequence induction for general anesthesia
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