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For growth hormone peptides (sermorelin, ipamorelin), baseline IGF-1 and growth hormone labs are helpful to track progress and ensure safe dosing

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The aforementioned studies suggest that SSRIs may contribute to the development of fetal myocardial injury, while also affecting maternal calcium homeostasis and steroid metabolism as well as inducing endocrine dysfunction, intrauterine fetal growth restriction, and neonatal maladaptation to the extrauterine environment (Figure 2)

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