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Unlike direct HGH administration, which can cause joint pain, fluid retention, and carpal tunnel syndrome at higher doses, sermorelin's pulsatile GH stimulation rarely produces these issues

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When combining peptides, start with lower individual doses and increase gradually

J Psychopharmacol 23:883890 Thai D, Dyer JE, Benowitz NL, Haller CA (2006) GHB and ethanol effects and interactions in humans

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