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[16] [84] [86] The American Academy of Sleep Medicine (AASM) 2021 clinical practice guideline conditionally recommends dextroamphetamine for the treatment of both type 1 and type 2 narcolepsy

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While Tesamorelin is designed to be more stable, a potential long-term research concern could be a gradual desensitization of the GHRH receptors in the pituitary