The one thing I will add to this is that Tirz manages my BG from high GH incredibly well. So in a maintenance phase, I really got a lot of benefit out of Tirz. The appetite and gastric emptying effects kind of tapered off and I was left with the BG control.
I do low carb most of the time, because I can't function on high carbs. Legit takes my motivation and drive away, and cognition feels like it decreases. I feel stupider pushing high carbs, it's really unfortunate.
Recently when I was off of all AAS, I pushed the GH high. Went to 16iu, and then went to 27iu for 2 months.
I had blood work done and my fasting insulin was 2.5. My A1C was 5.1. And you wanna know the really confusing and head scratching thing? My IGF 1 was in the 100s. Trust me, my GH is legit. I think it was that low due to no AAS, and not many carbs.
I really love Tirz, but I notice I do get fatigue from it, that's my only issue. I was combining Reta + Tirz, but now I'm on reta only 12mg.
Feel better this way. Curious to get bloods in a couple months see how it manages my A1C.