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People with untreated hypothyroidism should delay sermorelin until their thyroid condition is managed, because low thyroid hormone levels can make sermorelin ineffective (thyroid hormone is important for growth hormone action)

Folic acid when taken in a larger dose for a prolonged duration can impair the therapeutic response of Mecobalamin

GI LSA = gastrointestinal lymphosarcoma

Whatever your result, take it to whoever prescribes your metformin

Talk to your provider if you are interested in trying one or both of these treatments