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Monitoring focuses on IGF-1, glucose control, diabetes/retinopathy context, lipids, and GH-axis symptoms
The Endocrine Society's 2022 clinical practice guideline on type 2 diabetes management states: "Clinicians should systematically review concomitant medications that affect renal function or compete for renal tubular secretion when prescribing metformin" [15]
GH-sufficient adults have intact feedback mechanisms
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