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Holland, MD, MS, lead author, total joint arthroplasty surgeon at Campbell Clinic Orthopaedics and a faculty instructor at the University of Tennessee Health Science Center in Memphis

Starting conservatively makes sense for most people

Dual-pathway synergy: Veldhuis and colleagues demonstrated in human physiological studies that simultaneous activation of GHRH receptor and GHS receptor pathways produces GH pulse amplitudes exceeding additive predictions

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Compounded semaglutide and tirzepatide have clinical literature supporting their use, yet individual compounded formulations are not formally approved by the FDA

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