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Hyperinsulinemia can interfere with the signaling of GnRH, resulting in higher levels of LH and more frequent and intense GnRH pulses [57]

[4] Against this backdrop, the demand for effective therapies has grown significantly

Most patients access microdose GLP-1 through compounded formulations , which tend to be more affordable than brand-name products but are not typically covered by insurance

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In some clinical protocols, these peptides are combined or alternated