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95% CI + 0.07 to +0.46), with no significant effect on DBP

It does not trigger the extreme hunger that makes some growth hormone secretagogues difficult to tolerate

We additionally summarize the evidence by domain and certainty level in a structured Supplementary Table 6, explicitly separating relatively robust short-term metabolic evidence from more exploratory reproductive and periconception safety findings

Storage and stability considerations Peptide stability is always a concern, and it becomes more important when dealing with a condition that requires consistent long-term treatment