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It damages parenchymal cells, disrupts many biomolecules (including DNA and acetaldehyde), and encourages the formation of advanced end products of glycation, which play essential for cellular integrity 86

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Furthermore, because antibodies to sermorelin can develop, if there’s any sign that the medication isn’t working as expected (for instance, IGF-1 stops rising despite dose increases), the doctor might investigate if neutralizing antibodies are a factor