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For some patients, these services work fine

Figure 1 The biological effects of testosterone are mediated both by direct binding and activation of the androgen receptor, as well as indirectly through its metabolic conversion to biologically active derivatives, including 5-dihydrotestosterone (DHT) via 5-reductase and oestradiol via aromatization, which subsequently act through androgen and oestrogen receptors (ER/ER), respectively

Many patients start with sermorelin for budget reasons, then transition to ipamorelin for enhanced effects

This additional mechanism may contribute to greater weight-loss potential in some individuals based on clinical research

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