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If bleeding has been frequent or prolonged, checking for iron deficiency anaemia (with blood tests for full blood count and ferritin) may be appropriate, with iron supplementation if indicated

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[1] In adults with confirmed GH deficiency, sermorelin may also be considered as a treatment option, although its use in healthy older adults for anti-aging purposes remains unproven and is not an FDA-approved indication

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This synthetic peptide consists of the C-terminal fragment (amino acids 176-191) of human growth hormone with an additional tyrosine residue at the N-terminus, designed to retain the lipolytic properties of growth hormone while avoiding its growth-promoting effects

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