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Summary The proposed integrated approach underscores the importance of personalised nutritional strategies guided by patient-specific metabolic, hormonal, and microbiota profiles, and calls for effective multidisciplinary collaboration among nutritionists, endocrinologists, and behavioural health professionals to optimise therapeutic outcomes

Metformin is already on the WHOs Essential Medicines list, widely prescribed, and well-tolerated

Pulsatile pattern: GH is released in bursts (pulses), not continuously

Gently roll the vial between your palms if needed

Foods such as brazil nuts, fish, sunflower seeds, and bananas are all selenium-containing