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In the research framing this stack is kept clear of anything that pushes GH or IGF-1 from a third direction at the same time exogenous GH itself, additional GHRPs, or high-dose insulin protocols because the compounding effect on IGF-1 and glucose is precisely the risk the monitoring caveats exist to catch

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Higgins JPT, Thomas J, Chandler J et al (2021) Cochrane handbook for systematic reviews of interventions version 6.2 Sterne JAC, Savovi J, Page MJ et al (2019) RoB 2: a revised tool for assessing risk of bias in randomized trials

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