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It didnt warn about side effects, either

Sermorelin 10mg Summary Description: Sermorelin is a synthetic peptide analog of growth hormone-releasing hormone (GHRH), designed to stimulate endogenous growth hormone (GH) secretion through physiologic activation of the hypothalamic-pituitary axis

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Menstrual cycle changes are one of the defining features of perimenopause but not every irregular bleed is "just perimenopause." Several patterns warrant prompt gynecologic evaluation regardless of age