Its reliable
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New England Journal of Medicine Jastreboff AM, et al
First, it upregulates growth hormone receptor expression at the tendon-to-bone junction, making tissue more responsive to endogenous growth signals
This includes asking about dosage, number of injections, how often he needs to do them and what to expect as results
Some people notice subtle changes, such as improved sleep, energy, or appetite control, within days to a few weeks