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Notable drug interactions and related considerations include: Glucocorticoids: Concurrent high-dose glucocorticoid (corticosteroid) therapy may inhibit the GH response to sermorelin
The end of the shortage would effectively bar the sale of compounded versions of the drugs, but the FDA said that they do not plan to take any action against compounding pharmacies for 60 to 90 days

The Relationship Between Semaglutide Use and Acne Severity in Patients with Obesity: A Cross-sectional Study. Obesity & Metabolism, 9(4), 201-208
30 The delivery device for dulaglutide does not require the patient to attach a needle and it may therefore be the preferred agent for those who have poor dexterity or are needle phobic

The improvements could be due to placebo effect or the invasive procedure itself (cystoscopy), and subtle side effects might have gone unnoticed in such a small sample