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Sublingual tablets or sprays : Designed to dissolve under the tongue, though evidence of superior efficacy over standard oral forms is limited

Supplementation is unnecessary if parenteral therapy repletes serum levels, but individual assessment is advised

GH Secretagogues (e.g., CJC-1295, Ipamorelin, Tesamorelin) Growth hormone secretagogues like CJC-1295, Ipamorelin, and Tesamorelin stimulate pulsatile growth hormone (GH) release, which in turn increases insulin-like growth factor-1 (IGF-1) a peptide hormone that supports endothelial and metabolic health

In general, biotin injections are used when oral supplementation is insufficient or not feasible (for example, in patients with malabsorption or on total parenteral nutrition)