The following schedule reflects recommendations synthesized from pediatric endocrinology guidelines published by the Endocrine Society [7] and adapted by the HealthRX.com medical team for sermorelin-specific use: Baseline (before first dose): IGF-1 (Tanner-stage-adjusted), IGFBP-3, fasting glucose, HbA1c, TSH, free T4, LH, FSH, prolactin, bone-age X-ray (left hand and wrist), pituitary MRI, PHQ-A depression screen, and Tanner staging by physical examination
Goldstein AL, Slater FD, White A
Zhang, H., Liu, S., Li, X., Wang, W., Deng, L., and Zeng, K., Foods , 2021, vol
Agitation, nausea, headache and vomiting have been known to occur, in which case discontinue use