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Serious Adverse Events Serious adverse events were relatively uncommon and did not show a clear dose-response signal

No fatigue or brain fog (as in a relapse of my undiagnosed 20 year old situation)

My only issue is, I have contacted CS a couple times asking about my next order

By inhibiting the NNMT enzyme, it prevents the excessive consumption of NAD+, a critical molecule that your cells need for energy production, DNA repair, and maintaining healthy metabolic function

The most honest answer is: some effects are biologically plausible , some are supported indirectly by GH/IGF-1 research, but high-quality, female-specific clinical trials for sermorelin-as-therapy are limited