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reduce somatotroph sensitivity | Blunts GH response | IGF-1 at 8 weeks | | Octreotide / lanreotide | SSTR2/5 agonism | Abolishes GH response | Avoid concurrent use | | rhGH (somatropin) | Redundant GH axis stimulation | Excessive IGF-1 | 7-day washout before starting sermorelin | | Oral oestrogen | Reduces hepatic GH receptor density | Lowers IGF-1 per unit GH | Prefer transdermal route

This is because tissues like the Achilles tendon or rotator cuff are highly avascularthey get very little blood flow

Cost and insurance barriers remain the most common driver

If you are using any of these compounds, discuss your use with a physician who can monitor for adverse effects and advise on contraindications including for BPC-157, which should not be used by individuals with active or suspected cancer given its angiogenic mechanism

You can find sterile water packaged either in a clear vial with a grey cap or as an ampoule