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FDA Approval vs Compounding vs Research Use In real-world practice, this may be the biggest differentiator: Sermorelin: Previously marketed (Geref), now often encountered via compounding rather than as an FDA-approved commercial product (FDA, 2013)

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How might focusing on BMI as a measure of obesity and health overlook other key factors contributing to cardiometabolic risks, and what alternative metrics could provide a more comprehensive evaluation