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Unlike direct GH therapy, Sermorelin rarely causes significant fluid retention, carpal tunnel syndrome, joint pain, or severe insulin resistance that can complicate GH replacement, though mild versions of these effects are theoretically possible if GH stimulation is excessive

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To recognize that over the next 10 to 15 years there are huge opportunities for us to see a population of patients that are healthier on the input side, will be healthier through the early phases of dialysis therapy which as you know is extremely risky to them