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Window Off-cycle (4+ weeks) What's commonly tracked Symptom resolution, fasting markers What it tells you Off-time is when insulin sensitivity and IGF-1 receptor sensitivity recover

8-12 hours IM) Preferred by 64% of patients who've tried both Intramuscular (into deltoid or vastus lateralis, using a 22-25 gauge, 1-inch needle): 41% report injection-site soreness Faster absorption More difficult self-administration for some sites (deltoid requires non-dominant arm injection) Preferred by 36% of patients who've tried both The efficacy difference is minimal