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Other parameters like growth velocity (in children), body composition, bone density, or general well-being can help assess effectiveness

Anker, Stephan von Haehling, Growth hormone secretagogues: history, mechanism of action, and clinical development, JCSM Communications, Volume3, Issue1, January/June 2020, Pages 25-37 (6) Divall SA, Radovick S

Thats literally what stomach acid is designed to do

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