HealthRX.com · Printable lab tracker
Sermorelin and ibutamoren monitoring and questions record
Use this sheet to track the glucose, glycated hemoglobin, IGF I, blood pressure and fluid changes that the ibutamoren trials reported, and to bring questions to a prescriber or pharmacist. Fill it in by hand before each visit.
Products and contacts
Write what you have, not what you were told it contains.
Sermorelin product and sourceWrite the product name, form and where it came from
Ibutamoren product and sourceWrite the product name, form and where it came from
Prescriber or pharmacistWrite the name and phone number
Date you started either productWrite the date you first used each one
Gather before each visit
- Bring every product label and any compounding paperwork you have
- List every other medicine and supplement you take
- Note your most recent fasting glucose and glycated hemoglobin results
- Check with the lab for the reference ranges printed on your results
- Bring your blood pressure notes and any notes on swelling
- Confirm which lab tests your prescriber wants repeated
- Note any sport testing rules that apply to you
Monitoring record
Write the values your prescriber ordered. Leave a box empty if a test was not done.
| Date | Fasting glucose | Glycated hemoglobin | IGF I | Blood pressure | Swelling or fluid notes |
|---|---|---|---|---|---|
Questions for the prescriber or pharmacist
- Has the combination of these two products been studied in people?
- Which lab tests will you check, and how often will they be repeated?
- What glucose or glycated hemoglobin changes would you want me to report?
- What swelling or breathing changes should prompt me to contact you the same day?
- Does either product affect what my pharmacy can dispense to me?
- Does either product appear on a sport testing list that applies to me?