A person who lost 60 pounds and regains 40 after stopping the medication has still lost 20 pounds
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Areas of theoretical concern include: Glycaemic instability , particularly in those on antidiabetic medications Altered lipid metabolism , given GH's effects on fatty acid mobilisation Indirect cardiovascular effects , as elevated heart rate has been observed with glucagon receptor agonism and fluid retention is associated with GH excess [1] [17] There are no formal interaction data linking retatrutide and sermorelin to specific adverse outcomes, but the absence of evidence must not be interpreted as confirmation of safety
But labs are optional, not required
Pdx1, Pancreatic/duodenal homologous protein 1
Gao, X., Schwarzschild, M