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The most useful context this article can add, beyond what Enhanced already states, is the FDA's own history with sermorelin: specific, limited historical approvals under the Geref name, a 2013 FDA determination that the discontinuation wasn't for safety or effectiveness reasons (without a stated reason for what it actually was), and a current compounded, not-FDA-approved status that applies generally to compounded sermorelin, not to Enhanced specifically

Some patients needed insulin or other diabetic drug dosage modifications (37)

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