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Many people with a deficiency describe deep fatigue, including an "afternoon crash." With infrequent dosing, blood levels can peak and then taper before the next visit
If you experience sustained energy improvement and the cost-benefit ratio is favorable, continuing long-term is reasonable
Sermorelin requires consistent use over this timeframe because it works by gradually re-establishing a more youthful GH secretion pattern, not by introducing a sudden hormonal spike
For keeping up the treatment, injections are often given monthly
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