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Referral to endocrinology is appropriate in three situations: IGF-1 levels that remain suppressed despite adequate sermorelin dosing (raising concern for pituitary pathology), new-onset diabetes or HbA1c rising above 6.5% after starting sermorelin, or clinical suspicion of cortisol deficiency (fatigue, hypotension, hyponatremia) that may be unmasked by GH-axis stimulation

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Contrasting iron metabolism in undifferentiated versus differentiated MO3.13 oligodendrocytes via IL-1-induced iron regulatory protein 1

Clean the skin with alcohol, let it dry, pinch a fold of skin, insert the needle, inject slowly, withdraw, and press for a few seconds

R.et al (2012)