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During subsequent outpatient follow-up visits on June 15, 2020, August 14, 2020, November 10, 2020, December 10, 2020, and February 9, 2021, thyroid function, liver function, and complete blood counts remained within normal limits, indicating sustained biochemical remission and favorable clinical outcome

This process triggers the pituitary gland to produce and release GH, thereby promoting various physiological effects

Most protocols use morning dosing, partly because of the cognitive enhancement intent (effects during waking hours) and partly because some users report mild stimulant-like effects that interfere with sleep if dosed too late

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