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The sermorelin and GHRP-6 articles cover alternative secretagogues that some protocols include

Always remember to perform a small patch test first

For cardiovascular effects it separately advises tracking blood pressure and heart rate, since GLP-1 drugs lower both while oral estrogen may raise clotting risk

PMID 10880854

Brussels, Belgium GBD (2019) Blindness and Vision Impairment Collaborators (2021) Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study