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Abrupt discontinuation is generally safe from a pharmacological standpoint, as semaglutide does not cause physical dependence or withdrawal symptoms
CNS Drugs 29 (1), 4753
Ipamorelin is a GHRP (Growth Hormone Releasing Peptide) that triggers GH release via ghrelin receptor activation, with minimal impact on cortisol or prolactin
Bruising can occur but is usually very mild and small (yellow or greenish cast, not deep in color or large in area)
All of these medications have significant side effects, including some that are life-threatening, and are indicated only for stage 3 tumors to try to prevent recurrence and spread and stage 4 metastatic tumors that are no longer amenable to surgery
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