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Clinical experience suggests the combination can shift the results timeline forward by 2 to 4 weeks compared to sermorelin alone
Choquette et al.s 6-month intervention (3 sessions/week of combined resistance and aerobic exercise) in overweight/obese postmenopausal women found no improvements in whole-body, lumbar spine, or hip BMD (including total hip, femoral neck, trochanter, and Wards triangle)
Additionally, 87% of members who began treatment with high blood pressure had normal blood pressure after 12 months
One reason some people prefer the injectable route is that oral L-carnitine feeds gut bacteria that produce trimethylamine, which the liver converts to TMAO
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