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elevated triglycerides (defined as 150 mg/dL), decreased High Density Lipoprotein (HDL) (ranges below 40 mg/dL in men and 50 mg/dL in women), elevated blood pressure (defined as systolic blood pressure above 130 mmHg or diastolic blood pressure above 85 mmHg) and elevated fasting glucose (defined as blood glucose above 100 mg/dL)

The net effect is a middle ground: you get some of the targeted visceral fat reduction that tesamorelin delivers, combined with the broader recovery, sleep, and muscle benefits that ipamorelin provides

Your surgeon can tell if the numbness is normal or a red flag