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Escalating radiation doses to improve treatment outcomes has shown limited success and often leads to increased toxicity without substantial gains in efficacy [65, 133]

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The hands remain cold with trembling and withering of hand muscles

It involved ten women and nine men aged 55-71 who received nightly injections of placebo for four weeks, followed by 10mcg/kg of sermorelin for 16 weeks

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Stacking considerations: Can be combined with lifestyle interventions (calorie deficit, exercise) and, in some protocols, with other peptides such as CJC-1295/Ipamorelin for enhanced metabolic impact