gh 4 ui ed sostenido bloodwork management decision

[ChimboVet]

gh 4iu ed sostenido bloodwork management decision tree:

bloodwork check (each 3-6 meses):

igf-1:
- < 220: aumentar dose o evaluate response
- 220-300: dose appropriada
- > 300: considerar bajar dose

glucose ayunas:
- < 100: continuar
- 100-110: monitor + cardio
- > 110: agregar metformin o reducir gh

hba1c:
- < 5.7: continuar
- 5.7-6.0: metformin start
- > 6.0: significant intervention required

yo siempre decision tree para adjust protocolo según data.