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Insomnia is not listed among common adverse reactions in FDA prescribing information, and clinical trials did not identify it as a statistically significant side effect

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It is important to distinguish between side effects that are formally documented in clinical trials (where specific symptoms are systematically recorded) and those that emerge in real-world use

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This combination is studied for its potential to support endogenous pulsatile growth hormone (GH) release through complementary receptor pathways

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