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Under normal physiological conditions, the levels of vasopressin are not sufficiently high to produce this effect, but in severe hypovolemic shock, vasopressin release is very high, and this action contributes to a compensatory increase in systemic vascular resistance

Then, by introducing Sermorelin at a specific time, you could theoretically induce a sharp, high-amplitude 'pulse' of GH release on top of that already elevated baseline

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But changing this axis can also create side effects, including fluid retention, changes in glucose regulation, carpal tunnel-like symptoms, headaches and theoretical concerns in people with cancer risk or proliferative disease