Even moderate activity like walking 30 minutes daily improves outcomes compared to complete sedentary behavior
"In reality, optimal outcomes require dietary modifications, resistance training and healthy sleep habits." She added that while evidence supporting weight reduction, improved glycaemic control and cardiovascular risk reduction is robust, "careful patient selection and counselling are essential before initiating treatment"
Grenon SM, Vittinghoff E, Owens CD, Conte MS, Whooley M, Cohen BE
Because it stimulates the bodys own growth hormone production, dosing needs to stay within physiologic limits to avoid excess IGF-1. If levels climb too high, she notes, you might get symptoms such as fluid retention, joint stiffness, carpal tunnellike numbness, or mild insulin resistance, though these effects are uncommon with conservative dosing and regular monitoring
Front Clin Diabetes Healthc 4:p