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The dual-pathway approach engages both the GHRH axis (upstream stimulation of GH synthesis and release) and the ghrelin axis (amplification of GH pulse amplitude) simultaneously, which published preclinical data suggests produces greater GH elevation than either compound alone

A separate caution is hypersensitivity

Generic levothyroxine and brand-name Synthroid are technically the same drug, but they are not made the same way

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