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Growth hormone secretagogues as potential therapeutic agents to restore growth hormone secretion in older subjects to those observed in young adults

Additionally, if gut permeability is indeed increased in ME/CFS patients, microbes and antigens may be able to cross the epithelial barrier into surrounding tissue and blood, potentially crossing the BBB and altering the HPA axis (443)

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doi: 10.1210/en.2013-1934 192 GutzwillerJPTschoppSBockAZehnderCEHuberARKreyenbuehlMet al

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It's a range shaped by your clinical goals, the specific peptides used, your provider model, and whether insurance or HSA funds apply