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In recreational athletes, supraphysiological GH doses are often used either alone or in combination with other doping substances (140), and studies have shown that GH improves anaerobic sprint capacity, but not strength and endurance (141), and increases GH, IGF-I and fasting insulin levels (142, 143) mimicking those seen in acromegaly patients ( Table 1 )

If it is not, replace it

Long-acting formulations extending beyond once-weekly dosing could improve adherence further

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The peptide then enters the bloodstream and begins to circulate throughout the body, targeting areas where healing and repair are needed most

10.1111/jsm.12525 14 GevaertT.LerutE.JoniauS.FrankenJ.RoskamsT.De RidderD