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The two don't need to be given at the same time, and most protocols separate them for practical reasons

It supports the regulation of blood glucose, maintaining healthy blood sugar levels, and reducing blood pressure

Ben Fredj S, Ghammem R, Zammit N, Maatouk A, Haddad N, Haddad N, Kachroudi M, et al

However, practical experience suggests both approaches produce beneficial outcomes, with the choice often driven by convenience rather than optimization concerns

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GH release is gated by two independent switches, and a single compound only clears one of them: Bottleneck 1 the GHRH gate