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Active repletion through supplementation or injections is needed

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"Sermorelin stimulates physiologic GH pulses, improving muscle recovery, connective tissue repair, and sleep quality critical elements of recovery and rehabilitation in both athletic and aging populations." Schmid et al., Neuroendocrinology Clinical Evidence Clinical studies have demonstrated that Sermorelin effectively increases GH and IGF-1, leading to improvements in lean body mass, sleep quality, and overall recovery capacity