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Because the two peptides hit two separate receptors that both feed the same GH pulse, they are described in research as synergistic rather than additive: GHRH-driven and secretagogue-driven signals combine at the pituitary

Breckas nasal spray runs $375, the patch version $575 a month, and almost nobody takes a single peptide

By the time an oral sermorelin tablet has passed through your stomach, the compound that could have signaled your pituitary gland to release growth hormone no longer exists in a form capable of doing that

If you are starting at 2mg (the more common approach), 20 units is manageable on most syringes