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Combination treatments are often required

To mitigate IGF-1 side effects such as joint pain, swelling, and nerve compression, bodybuilders can follow several strategies: use the lowest effective dose under medical supervision, rotate injection sites, maintain proper hydration, support joints with supplements like glucosamine or omega-3 fatty acids, and incorporate stretching and mobility exercises

Its also why doctors evaluate other factors such as sleep apnea, thyroid issues, and insulin resistance when discussing sermorelin as a peptide therapy

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