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Risk of lactic acidosis increases in patients with kidney disease, liver disease, or excessive alcohol use

But vitamin C is one of those actually helpful ingredients

This preservation of surface receptor density ensures that the somatotroph axis remains sensitive to subsequent hormonal spikes, thereby preventing the "plateau effect" observed with lower-selectivity secretagogues

A: You follow the same standard as any medication: document informed consent (discussing common side effects like nausea, GI issues, and rare risks like pancreatitis for GLP-1s), monitor appropriately (regular follow-ups, checking labs if indicated), and respond to adverse events (discontinue if serious, refer to ER or specialist if needed)