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37 Molecular studies revealed that the causes of GH resistance are deletions 38 or mutations 39 in the GH receptor gene, resulting in the failure to generate IGF-1 and a reduction in the synthesis of several other substances, including IGFBP-3

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Sermorelin is a synthetic analog of growth hormone-releasing hormone (GHRH), a naturally occurring substance produced by the hypothalamus

Simply put, its a sterile, non-pyrogenic water (non-pyrogenic means a substance is free from fever-causing substances) which contains a bacteriostatic agent (in our case, thats benzyl alcohol in the concentration of 0.9% - 9 mg/ml)
Silver diamine fluoride-an overview of the literature and current clinical techniques