IGF-1 is useful precisely because it is slow-moving: unlike GH, whose serum level swings across a single pulse and is hard to capture with a spot measurement, IGF-1 integrates GH exposure over roughly a day, so a sustained rise in IGF-1 is strong evidence that GH output has genuinely increased rather than merely been re-timed
MELANOTAN Melanotan I and Melanotan II are both analogs of the peptide hormone alpha-melanocyte-stimulating hormone (-MSH) that induces skin tanning
Be careful to clean the area thoroughly with alcohol Note the target area

Absent or low sexual desire or arousal Compulsive or excessive sexual behaviors Difficulty achieving orgasm Difficulties with erection or ejaculation Genital and pelvic pain with sexual activity Intimate Relationship Issues Substance or medication-induced sexual dysfunctions Perinatal, postpartum, or perimenopausal sexual changes Sexual dysfunction related to sexual trauma Our Approach to Attaining Sexual Health Non-judgmental, thorough, and thoughtful assessment and evaluation of your symptoms Individual sexual health counseling Couples and marital counseling Medication management and evaluation Treatment of co-occurring mental health conditions Collaborative and coordination of care with your RCBM team and external providers What You Can Expect An initial sexual health assessment with a licensed therapist or medical provider Individualized and collaborative treatment planning and recommendations Referral to outpatient counseling and medication management if indicated Coordination of care with external health providers, if applicable Sexual Health Program Patient Interest Form: For patients who have been seen by an RCBM provider within the past 6 months, please DO NOT complete the form below

Jitendra SSV, Singh MR, Devi HC, Gunindro N, Rita S