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SNRIs add norepinephrine to the equation

You may be a strong candidate for sermorelin with TRT if: You are currently on TRT but have not achieved the full results you expected Lab work confirms both low testosterone and low/declining IGF-1 levels You experience persistent poor sleep despite adequate testosterone levels Recovery from exercise remains slow even on TRT Body composition has plateaued despite TRT and good lifestyle habits You experience symptoms consistent with both testosterone and GH deficiency You are seeking a comprehensive anti-aging and optimization approach You are committed to regular lab monitoring and follow-up Who May Not Be a Good Candidate Combination therapy may not be appropriate for: Individuals with active or recent history of cancer Patients with untreated pituitary disorders Those with uncontrolled polycythemia (high red blood cell count) Individuals with untreated sleep apnea Patients not willing to commit to regular laboratory monitoring What Results Can You Expect

PMID: 27138887)

Within 2 months, my knee was better and I was able to compete again

They dont come from human clinical trials because none exist