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For keeping levels up, shots are usually given monthly

Pavlov EP, et al

Common Reasons People Use Sermorelin Declining energy and persistent fatigue Poor sleep quality and reduced slow-wave sleep Loss of muscle tone and strength Unfavorable body composition changes (increased fat, decreased lean mass) Slower metabolism and recovery Age-related decline in vitality and quality of life Results with sermorelin tend to build gradually, with sleep improvements often noticed first (within 2-4 weeks) and body composition changes becoming apparent over 2-3 months

Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax