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If you're not seeing weight loss results with Topamax, it may be worth discussing these alternatives with your doctor, assuming your insurance covers them

55 To recapitulate, GIP appears to have a dose-related, binary relationship with adipose tissue inflammation

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Key Research Insight Tesamorelin: Associated with more consistent and sustained IGF-1 elevation in controlled studies Supported by both clinical and preclinical data Ipamorelin: Can influence IGF-1 indirectly via GH pulses Effects may be less stable and more model-dependent Research Applications of Tesamorelin and Ipamorelin 1