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Repeated freeze-thaw cycles should be avoided

Furthermore, because antibodies to sermorelin can develop, if theres any sign that the medication isnt working as expected (for instance, IGF-1 stops rising despite dose increases), the doctor might investigate if neutralizing antibodies are a factor

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If you have a systemic issue with expired medication, whether from a delayed shipment, overstocking, or irregular use patterns, you need to address the root cause

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