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(The GLP-1 hiatus is designed to help avoid anesthesia-related complications as well as improve wound healing, he says.) Six weeks prior to surgery, patients also up their protein intake and enhance their diets

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Distributed under the brand names Geref and Geref Diagnostic, it gained FDA approval in 1997 as a treatment for growth hormone deficiency but was discontinued in 2008 not out of concern for safety or lack of efficacy, but because of manufacturing difficulties.2 3 Yet it remains available in compounded form with a prescription from a licensed healthcare provider