Even in the absence of frank hypoglycaemia, fluctuations in blood glucose may affect energy levels and cognitive function, contributing to a sense of tiredness throughout the day
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Alpha lipoic acid is naturally produced by the body and can be obtained from dietary sources
Sigalos and Pastuszak 2018 identified decreased insulin sensitivity and elevated fasting glucose as a consistent adverse signal across the entire GH secretagogue class, GHRH analogs included, even though the mechanism (preserved pulsatility) is theoretically gentler than fixed-dose GH
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