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Additional measures of withdrawal symptoms (e.g., muscle twitches or shivering) were not included here due to their limited variability across participants

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Unlike exogenous GH administration, sermorelin preserves physiologic feedback loopsGH release is subject to normal negative feedback via somatostatin and IGF1, reducing the risk of excessive GH or IGF1 levels [6]

The program includes initial assessment, body composition measurements, medication education, medical monitoring, bi-monthly follow-ups (in-office or telemedicine), and the medication itself

Statistical analysis Graphical presentations, calculations and statistical analyses were carried out with GraphPad Prism software (San Diego, CA, USA)

How much HCG should I take with TRT