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Patients are educated on avoiding triggers such as shift work, alcohol, tobacco, prolonged bed rest, weight gain, lack of sleep, and stress, while promoting strategies to manage fatigue including increasing exercise, consuming nocturnal protein snacks, and employing ergogenic nutrition (2, 4, 9)

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While sermorelin has a very short half-life, CJC-1295 provides more sustained stimulation, and Ipamorelin acts selectively without increasing hunger or cortisol levels

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