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It is an argument for using reputable compounding pharmacies with third-party testing and quality certifications

[6] Like pralmorelin and GHRP-6, ipamorelin does not affect prolactin, follicle-stimulating hormone (FSH), luteinizing hormone (LH), or thyroid-stimulating hormone (TSH) levels

For patients interested in combination therapy, switching from semaglutide to PlexusDx's Tirzepatide Injection or GLP-Squared Injection (which combines semaglutide and tirzepatide) typically occurs after the semaglutide dose levels drop sufficiently to avoid dual-overlap side effects