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Bad sleep flattens your nighttime GH pulse, and alcohol suppresses GH release outright, so cleaning those up already changes the environment BPC is working in

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doi: 10.1007/s00401-009-0591-3

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Anemia from another cause, thyroid disease, iron deficiency, folate deficiency, inflammatory disease, and metabolic contributors can all produce overlapping complaints, as can medication effects, sleep disorders, and neurologic conditions