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Description
Untreated hypothyroidism blunts the physiological response to sermorelin, as normal thyroid hormone levels are needed for optimal GH production
Since elderly T2DM patients are likely to experience greater prolonged exposure to both metformin and polypharmacy involving other drugs that are known to negatively impact upon micronutrient status makes the monitoring and management of this group particularly important

Pharmacies may apply stricter rules depending on how orders are processed

Provide electrolyte replacements as indicated
