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Introduction Sterol metabolism is a fundamental biological process that supports the structural integrity of membranes and the production of essential bioactive molecules such as hormones, bile acids, and vitamins [1]

When to Stop Discontinuation should be considered if IGF-1 exceeds 400 ng/mL on two consecutive measurements, if the patient develops new symptoms of carpal tunnel syndrome (a known GH excess sequela), or if diabetes control deteriorates with HbA1c rising more than 0.5 points from baseline