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After the pituitary releases growth hormone in response to sermorelin, the liver converts a significant portion of that GH into IGF-1, which mediates many of GHs downstream effects on fat metabolism, muscle maintenance, and tissue repair

If its within 5 days of your missed dose: You should take the missed dose as soon as you remember it

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It triggers the pituitary to release GH in a pulsatile, physiological pattern

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