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Since each patient is different, a customized approach is recommended

This extended signaling allows for a steady, basal increase in growth hormone and IGF-1 levels without causing the aggressive spikes that disrupt natural endocrine rhythms

The real decision is which one fits what you want to feel and see, and whether a supervised plan that uses both would serve you better than either alone

10.1016/j.vetimm.2009.01.005

Westermann S, Rief W, Euteneuer F, Kohlmann S

And unless you eat a lot of great quality grass-fed beef or mutton you can not produce sufficient amounts, and likely have an Acetyl-L-Carnitine deficiency