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For men, growth hormonerelated pathways are closely linked to muscle maintenance, fat metabolism, and overall physical resilience
When a patient attempts to engage in physical or cognitive exertion, they demand ATP that simply isn't available, triggering a severe metabolic crash known as post-exertional malaise (PEM)
Yet fewer than 1 in 10 patients ever file an appealthose who do have a real chance of getting coverage
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But not in the way most medications do
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