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If you're using a topical retinoid or retinol product it may be best to alternate days, so you're not using both at the same time, Murphy-Rose says

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doi: 10.1186/s13195-021-00783-x 216

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