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However, there were limited data available on pregnancy rates for interventions (9, 1013)
For those with confirmed growth hormone deficiency, the appropriate pathway remains referral to an NHS endocrinologist for formal assessment, biochemical testing, and, where indicated, initiation of licensed somatropin therapy under NICE TA188 criteria
Its crucial to differentiate this from the fruity smell of ketosis and consult a professional if concerned
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A provider should review imaging or endoscopy results before starting, and acid-suppression therapy is often started at the same time as the GLP-1 medication
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