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Professor Leonard, N.P will perform one or more of the following to determine which of your peptides require supplementing: blood test to measure growth hormone level blood test to measure other hormone levels affected by HGH binding protein level (IGF-I and IGFBP-3) blood tests determine whether your pituitary gland is causing your symptoms GHRH-arginine provocative test insulin tolerance test After assessing your levels, Leonard will consider our age, general health, exercise regimen, and symptoms as well as your tolerance of those symptoms before prescribing a custom peptide protocol