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Li, R., Quan, Y
This plateau isn't treatment failureit's a natural metabolic shift that responds well to dose optimization, lifestyle recalibration, and precision testing
Risk factors include acute illness, reduced food intake, surgery, or significant insulin dose reduction
GH does not appear to be either safe or effective for young athletes or healthy older men
A maintenance plan may include: Continued follow-up visits Adjusted medication strategy Protein and resistance-training goals Monitoring weight trends before regain becomes significant Revisiting sleep, stress, alcohol, and nutrition habits Lab monitoring when appropriate A plan for travel, holidays, plateaus, and life disruptions Long-term success depends on building a system that can be maintained in real life
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