I have a patient with a hx of giant cell tumor to L tibia ( benign).
He was prescribed Sermorelin for sleep and muscle mass prior to seeing myself.
He unfortunately had a reoccurrence of giant cell to L tibia again.
I am wondering what peptide could be possibly used to support sleep other than GHRH/P
His testosterone is optimized and diet is very clean, high protein.
For sleep I am thinking DHHB, especially as he wishes to wean off Klonopin, L theanine and low dose progesterone slow release along with mag threonate.
I am thinking along the lines of T B 4 for cellular, skeletal repair and muscle support but concerned that this may afect regrowth of giant cell again?
I look forward to any feedback.
Thank you!