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This dual-pathway stimulation is observed in research to produce a robust, physiological pulse of Growth Hormone (GH) without the significant elevation of cortisol or prolactin often seen with non-selective secretagogues like GHRP-2 or GHRP-6
Others handle it at embarkation with no pre-notification required
J Sleep Res, 10.1111/jsr.12001 (2012)
7 Generally, this is recommended for patients with tophi, radiographic damage attributable to gout, or frequent flares (2 or more per year)
