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Additionally, systemic side effects associated with sustained growth hormone stimulation include symptoms such as abnormal tissue growth, joint discomfort, and potential enlargement of the heart (cardiomegaly), Roberts says (21)

Exercise synergy: Combine resistance training (35/week) with aerobic activity (150+ min/week moderate intensity) to maximize fat oxidation and metabolic adaptations

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Ipamorelin binds ghrelin receptors for a rapid burst