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That is a very different statement from they do nothing. It means: The mechanistic rationale is real

By four months, more than 90 percent of participants reported visible improvement in hair coverage, and 95 percent expressed increased satisfaction, with no serious adverse events reported to date

The peptide appears to accelerate re-epithelialization by increasing blood flow to damaged tissue and stimulating collagen synthesis

Nature Reviews Endocrinology: The effects of growth hormone on adipose tissue: old observations, new mechanisms Multidisciplinary Digital Publishing Institute: Central Regulation of Metabolism by Growth Hormone Medical Anti-Aging: Sermorelin Medical Evidence Journal of Anti-Aging Medicine: Growth Hormone Releasing Hormone Treatment in Normal Aging Translational Andrology and Urology: Beyond the androgen receptor: the role of growth hormone secretagogues in the modern management of body composition in hypogonadal males Springer Nature Link: Effects of growth hormone therapy on bone density and fracture risk in age-related osteoporosis in the absence of growth hormone deficiency: a systematic review and meta-analysis