The right approach depends on lab results, symptoms, goals, and whether fertility is a concern
EHV-1 is arguably one of the most important equine pathogens with a worldwide distribution in domestic horses ( Equus ferus caballus ), but it or closely related herpesviruses can also occur in other equids including several species of zebra, domestic donkeys and onagers 24,25,26,27
DOI: 10.1016/j.freeradbiomed.2010.02.036 25
Case in point: a 2013 review supported growth hormone therapy as a treatment for patients with cognitive impairment, theorizing that growth hormone may interact with receptors in the central nervous system associated with learning and memory.20 Another case in point: a 2018 review found that IGF-1 plays a major role in adult brain function and decreases with age, a decrease that seems to precede cognitive decline in the elderly.21 To tie this all together, we can point to a 2012 clinical trial directly examining the effects of tesamorelin on cognitive function
Since it does not affect hormone levels, insulin sensitivity, or appetite regulation, there is no rebound effect from discontinuation