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Negative Feedback Regulation Importantly, Sermorelin stimulation is subject to physiological regulation through the somatostatin-GHRH axis: when GH and IGF-1 levels rise, this triggers negative feedback at the hypothalamus, stimulating release of somatostatin (also called growth hormone-inhibiting hormone or GHIH) from periventricular hypothalamic neurons

Temperature also matters: reconstituting with room-temperature bacteriostatic water rather than refrigerated solution accelerates peptide degradation during the mixing process itself

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