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Critical limitations identified in the systematic review include predominant use of small rodent models (primarily rats), short follow-up periods relative to human healing timelines, variable dosing regimens complicating dose-response assessment, and lack of standardized outcome measures across studies

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Fat loss: Reduced abdominal fat GH is a potent lipolytic hormone that preferentially mobilizes visceral and truncal fat stores Improved fat oxidation during fasted states and exercise Research on long-term GHRH analog administration showed increased lean body mass and favorable body composition shifts in both men and women (PMID: 9141536) Muscle and recovery: Improved muscle fullness and recovery between training sessions Enhanced response to resistance training GH does not directly build muscle like testosterone, but the recovery advantage allows more productive training volume Joint and connective tissue improvements from IGF-1-driven collagen synthesis Skin and appearance: Noticeably improved skin quality tighter, more hydrated, and better elasticity Reduced fine lines (GH-driven dermal collagen production) Hair and nail growth may accelerate DAC vs no-DAC difference: At this stage, outcomes tend to converge