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For patients whose primary goal is visceral fat reduction, we use Tesamorelin, which is FDA-approved for that specific indication and has stronger clinical data for fat metabolism than sermorelin

doi: 10.1007/s00432-017-2464-9 37 YangWSSriramaratnamRWelschMEShimadaKSkoutaRViswanathanVSet al

The prolonged exposure of renal cells to oxidative damage impairs the ability of the tubules to transport, absorb, and excrete electrolytes and water, and leads to fibrosis and loss of kidney function