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It primarily affects growth hormone without substantially elevating cortisol, prolactin, or ACTH levels

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This review synthesizes evidence from peer-reviewed studies published between 2020 and 2026, focusing on mechanisms, efficacy, and safety

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doi:10.1016/s0302-2838(03)00367-1

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doi: 10.1007/s11055-007-0095-3

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