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Its not FDA-approved, and selling it as a drug or supplement in the US isnt legal (source)

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Baseline Assessment: Glucose body function markers Growth factor levels (IGF-1, IGFBP-3) Liver function tests Complete blood count Body makeup measurements Ongoing Tracking: Blood glucose levels (very important due to insulin-like effects) Signs of hypoglycemia (if applicable to research model) Injection site reactions Research-specific parameters based on study objectives Post-Protocol Assessment: Repeat baseline measurements Assess research outcomes Document any adverse findings Plan appropriate washout period Cycle Length and Off-Cycle Periods Research protocols often incorporate cycle lengths and off-cycle periods to optimize results and minimize possible desensitization

doi: 10.1111/dom.12872 8 SunFChaiSYuKQuanXYangZWuSet al