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Key considerations if a patient discloses combined use include: Gastrointestinal effects : Both agents may independently cause nausea, vomiting, or appetite suppression

This maintenance phase begins only after the initial deficiency has been corrected and the patients blood markers have stabilized within the normal range

Fatigue can have many causes, including stress, poor sleep, hormone issues, nutritional deficiencies, or other medical concerns

This selective mechanism produces metabolic safety benefits that may make AOD-9604 appropriate for individuals who cannot tolerate or have contraindications to conventional growth hormone therapy