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Bhargava says

( 7 ) Chronic stress can also contribute to hormone imbalances

In one randomized controlled trial, 114 participants were given ipamorelin intravenously (rather than by subcutaneous injection) to see if it could speed up their digestive tracts after major bowel surgery

Second, many available studies are characterized by small sample sizes or lack appropriate control groups, making it difficult to draw definitive conclusions about therapeutic efficacy and optimal treatment protocols