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Fatigue with Zepbound may result from multiple factors including slowed gastric emptying and reduced appetite leading to insufficient caloric intake, dehydration from gastrointestinal side effects like nausea and vomiting, and metabolic changes during weight loss

Initial results from an ongoing study suggest that Sermorelin, a synthetic form of growth-hormone-releasing hormone (GHRH), might potentially increase average growth hormone levels by approximately 82%

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