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Vitamin B12 monitoring is not routinely indicated for patients on GLP-1/GIP therapy alone but may be considered for those also taking metformin or with risk factors for deficiency

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CJC-1295 paired with Ipamorelin This is the most widely used growth hormone secretagogue combination in clinical peptide practice

no controlled trial has tested them together

The absence of a head-to-head trial means that prescribing decisions will initially be guided by availability, formulary coverage, individual tolerability, and prescriber familiarity rather than definitive comparative efficacy data