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The evidence is mixed and depends strongly on the reason for use

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No, they can also result from physical overexertion, poor sleep, stress, or nutritional deficiencies

Storage: Refrigerate at 28C and protect from light

In addition to IGF-1, your provider might monitor thyroid function tests (since GH and thyroid hormones interact and sermorelin could unveil a thyroid issue)

For this particular population of boys, could a viable preventative strategy be simply to ensure carnitine is provided in the diet as an infant goes from carnitine-rich milk as their primary food, to juices, fruits, and other foods containing reduced amounts of carnitine