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Metformin was the most prevalent therapy (82%), followed by insulin (51%), glucagon-like peptide 1-receptor agonist (32%), SGLT2-i (23%), while patients prescribed dipeptidyl peptidase IV-inhibitors or sulfonylureas were less common (Table 1)

Selank Peptide Selank is a synthetic analog of tuftsin, a naturally occurring peptide involved in immune and neurological regulation

This typically resolves as the body adapts, usually within 2-4 weeks

Oral Sermorelin is a medicated lozenge (called a troche) that dissolves slowly between the cheek and gum or under the tongue, typically over 1530 minutes

Unlike earlier growth hormone releasing peptides, ipamorelin is highly selective and does not significantly stimulate ACTH, cortisol, or prolactin release at effective doses [1] [3]