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Lab Tests and Professional Follow-Up Every 3 months, check: IGF-1 and IGFBP-3 (GH bioactivity) Fasting glucose and HbA1c (insulin sensitivity) Thyroid panel (TSH, free T3, free T4) Cortisol (if fatigue symptoms persist) Work with an endocrinologist to interpret labs and fine-tune your sermorelin dosage

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Compounding pharmacies operate under state pharmacy board oversight, federal compounding law (DQSA), and for those that pursue it voluntary PCAB accreditation that sets standards beyond what state licensure requires on its own