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An important limitation of the available RCTs is the lack of standardization in supplement dosing and the variable bioavailability of these compounds, which May contribute to the heterogeneity of clinical outcomes

References 1 Journal of Clinical Endocrinology & MetabolismProlonged stimulation of GH and IGF-I secretion by CJC-1295, a long-acting GHRH analog, in healthy adults

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That small addition makes an enormous difference