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Disclosure The authors declare that they have no conflicts of interest in this work

Standard tesamorelin stacking protocol (tesamorelin + ipamorelin): T-0:20 minutes : Inject ipamorelin 200300mcg subcutaneously (abdomen or thigh) T-0:00 : Inject tesamorelin 12mg subcutaneously in a different site Timing : Administer once daily, 3060 minutes before bed on an empty stomach (minimum 2 hours post-meal) Reconstitution : Both peptides require reconstitution with bacteriostatic water

A pharmacare programme costing $5 billion in year 1 scores as $5 billion in current-period deficit, even when it generates many times that in cumulative tax revenue and prevented healthcare costs over 25 years

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