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The idea was reinforced by the observation that when GHRP was administered concomitantly with GHRH, its effect to elevate circulating GH was not simply additive to the anticipated responses of GHRH or that of its truncated analog, sermorelin

(The other GLP-1 obesity drug, semaglutide, is sold as Ozempic for diabetes and Wegovy for weight loss)

Note the ring of sparing from dermal melanocytosis surrounding the caf au lait macules

Very informative indeed

2,14,15 It should be reserved for specific clinical circumstances in which a rectal examination is unreasonable (e.g., in a child with a history of trauma) or the diagnosis is uncertain

PMID: 36 HsiehCHHsiehHCShihFSWangPWYangLXShiehDet al