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Psychiatry 19, 259264

Sermorelin is often prescribed off-label for adults for age-related GH decline or wellness benefits. Patients should understand that the FDA hasn't formally reviewed evidence for these specific unapproved uses, and insurance coverage may be limited. Adults considering sermorelin vs HGH for anti-aging should be aware that off-label protocols, while widely used, are not universally reimbursed and often require out-of-pocket payment

Lancet 297 , 11531156 (1971)

[1] [2] Elevated methylmalonic acid levels may also indicate a deficiency

These products smuggled into the country are still being marketed openly in markets, shopping centres and online