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During the menopause transition, women frequently experience shifting hormones, sleep issues, and body composition changes like more belly fat and less muscle

The theory described in the peptide literature is that a GHRH analog (signal one) and a ghrelin-receptor agonist (signal two) act in a complementary, even synergistic, way producing a larger GH pulse together than either pathway alone, because the pituitary carries co-receptors for both inputs

doi: 10.1016/S2213-8587(23)00058-X 169 RubinoFCummingsDEEckelRHCohenRVWildingJPHBrownWAet al

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Long-Term Nutritional Follow-Up After Gastric Banding BOMSS recommends specialist MDT follow-up for at least two years post-surgery with lifelong primary care monitoring thereafter, including annual blood tests covering B12, full blood count, ferritin, vitamin D, and folate