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Additionally, our literature search was confined to English-language publications, which introduces the possibility of English language bias

Furthermore, the released peptide will be degraded by peptidases

Some patients may find that staying on a maintenance dose or reducing to a lower dose remains the better choice

Sermorelin is a prescription medication

However, despite these encouraging preliminary findings, the current body of evidence is constrained by small sample sizes, heterogeneous study designs, and a lack of standardised imaging protocols, which collectively limit reproducibility and generalisability