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Work closely with your doctor to plan a safe transition off the medication, including a washout period of at least 2 months before trying to conceive Follow a nutrient-dense, balanced diet to offset reduced appetite A dietitian-customised supplement regimen to support key preconception nutrients

GLT1 then transfers the amide group from glutamine to -ketoglutarate, synthesising two molecules of glutamate 18

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Prescribers should still exercise caution with any GH-axis stimulation in patients with liver disease, given GH's effects on hepatic glucose metabolism and IGF-1 production