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For patients on thyroid hormone replacement, weight loss may cause TSH to drop below target, indicating over-replacement that requires dose reduction

Hybye C, Barkeling B, Espelund U, Petersson M, Thorn M

"My tongue is tingly and metallic feeling all the time things do taste different." - ten96dispatcher Not all experiences are negative

Why this affects your dose: Because sermorelin stimulates natural production rather than replacing hormones directly, the dosing window is more forgiving than direct HGH therapy

Taking medications with smaller, low-fat meals may help (except for oral semaglutide/Rybelsus, which requires administration on an empty stomach with water only, at least 30 minutes before food, beverages, or other medications)