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Because growth hormone is released primarily during deep sleep, this combination is most often taken in the evening

Data were analysed using FlowJo (v9) software

Depending on the clinical situation, physicians may consider: Monitoring symptom stability before changing therapy Reassessing for untreated co-infections Evaluating autonomic dysfunction or other overlapping conditions Gradually modifying treatment while monitoring for recurrence Maintaining regular follow-up visits during recovery The appropriate strategy varies from patient to patient