The same study confirmed dose-dependent increases in GH without significant changes in other pituitary hormones (prolactin, TSH, LH, FSH, cortisol), supporting its selectivity for the GH axis
If youre trying to use it to detox from the alcohol and kebab you had the night before, it wont do anything at all because they have been absorbed into your bloodstream already
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the risk is lower than after malabsorptive procedures as no bowel is bypassed