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if you're asking about the regulatory state sermorelin carries a real FDA history: approved as Geref for pediatric growth hormone deficiency in 1997, withdrawn in 2008 for commercial reasons (FDA confirmed in 2013 the withdrawal was not for safety)

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De Saedeleer CJ, Porporato PE, Copetti T, Perez-Escuredo J, Payen VL, Brisson L, Feron O, Sonveaux P

I bet it was already part of his agenda even before he got this letter

Yes, AOD 9604 is generally well-tolerated by patients with thyroid disorders, perimenopause, or adrenal imbalances