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Mark Duncan is a psychiatrist who specializes in addiction and is UWs principal investigator for the study

The key differences are in selectivity how much they activate other pathways beyond GH release

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For patients who are already experiencing significant nausea or who are at maximum tolerated dose, option 2 is safer

for instance, some studies indicate that ALA supplementation can decrease activation of the NF-B cytokine pathway, suggesting an anti-inflammatory effect (though this is an area of ongoing research)