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Monitoring should be specific Depending on the goal, monitoring may include: Body composition trends, not just scale weight Blood pressure and resting heart rate Fasting glucose, insulin, A1c Lipids and inflammatory markers Liver enzymes, kidney function Thyroid markers when relevant Nutrient status, especially if appetite drops Sleep data, subjective and objective if available You also need a plan for what happens if you stop

Elevated GH drives IGF-1 production in the liver, which is the primary mediator of muscle protein synthesis, satellite cell recruitment, and lean tissue preservation

no mortality

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