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The reason why is because the majority of growth hormone secretion happens during sleep, so if you're not getting adequate amounts, or not getting adequate slow-wave sleep, your growth hormone levels are going to suffer along with your ability to build and maintain muscle mass

doi: 10.1007/978-1-0716-3601-5_10 68 PoojaryMMLundMNBarbaFJ

In the United States alone, the economic burden of PD exceeded $52 billion in 2020, with caregivers losing an average of $19,000 in annual income due to reduced work hours or job loss (Chaudhuri et al., 2024)