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If it does not improve, your provider can evaluate a slight dose reduction, advise reducing caffeine and other stimulants, or discuss alternative appetite suppressants such as Tenuate or Phendimetrazine, which work through different mechanisms and tend to cause less sleep disruption
However, ongoing safety monitoring on Hers depends on patient-initiated check-ins rather than mandatory follow-up labs or clinical assessments, which may delay detection of dose-related complications or emerging health concerns
The active factor was GHK-Cu
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