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However, "despite these therapies being highly cost-effective, their potential budget impact is large," it says

Serum insulin-like growth factor 1 (IGF-1) levels, which are a substitute for GH levels, were compared to sexual function scores in 65 men who filled out the Sexual Health Inventory for Men (SHIM) and the Expanded Prostate Cancer Index Composite (EPIC) questionnaires and had their testosterone and IGF-1 levels checked

Both groups reached the same maintenance dose, but the escalated group achieved greater weight loss (-17.1% vs -15.7%) with fewer gastrointestinal adverse events

But it's unique because it's a tri-agonist

Nauck, 2016)