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LSDM, long-standing diabetes mellitus

For chronic weight management, the FDA-approved indications generally include adults with a BMI of 30 or greater, or BMI 27 or greater with at least one weight-related condition (type 2 diabetes, hypertension, dyslipidemia, obstructive sleep apnea, cardiovascular disease)

Patients managing type 2 diabetes often take multiple medications at once, which increases the number of possible combinations a provider needs to consider

Protocol: Sermorelin: 200-300 mcg Ipamorelin: 200-300 mcg Combined injection, usually at bedtime Notes: Sermorelin has a shorter half-life than CJC-1295, creating more discrete GH pulses