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Its important to keep an eye on kidney function and B12 levels
Flat GH responses to GHRP at all time points regardless of pulse phase suggest something about the HPA axis or model state is off
References Guidelines for the management of inflammatory bowel disease in adults
I also have sensitive skin and everything is trial and error
That said, this side effect is usually temporary, and there are some pretty straightforward ways to support your body through the adjustment period, so you can minimize the exhaustion and get back to actually enjoying your day
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