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(d) normalization of MTTP and LDLR expression aids in restoring lipoprotein metabolism [[122], [123], [124]]

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Week 0: Baseline labs, DEXA or body composition, injection training Week 6, 8: Fasting glucose, lipid panel, body weight, injection-site review Month 3: Full panel (all baseline labs plus IGF-1 and HbA1c), body composition, PHQ-9 Month 6: Full panel, body composition, shared clinical decision on continuation Every 3 to 6 months thereafter: Fasting glucose, lipid panel, IGF-1, injection-site review "Clinicians prescribing investigational or compounded peptides bear full monitoring responsibility