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However, it does not provide consistent or robust evidence that it improves maximal physical performance in healthy, uncompromised animals

[10] Patients should have thyroid function assessed and corrected prior to and during sermorelin therapy to ensure effectiveness

Its not recommended as both are powerful actives, and layering them can increase irritation, particularly for dry or sensitive skin

Although no formal contraindication exists for combining these interventions, the safety and efficacy of this combination have not been studied in clinical trials