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Medications prescribed included, metformin extended release 80% (n=32), topiramate 32.5% (n=13), bupropion 32.5% (n=13), phentermine 20% (n=8), and naltrexone 2.5% (n=1)

Once you stop, growth hormone levels will gradually return to baseline

The compounds effects on NAD+ metabolism may have implications for muscle biology given the importance of NAD+-dependent enzymes in muscle function

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Where the differences occur though is probably their long-term risk

Aim to maintain or increase your exercise routine, focusing on both cardiovascular fitness and strength training