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Charlne Verschueren (LIH) and Catherine Dostert (LIH) for assistance

Cut back on caffeine and alcohol Both can disrupt sleep and elevate cortisol, especially in the evening

Ipamorelin is also used in longer protocols, though some clinicians prefer cycling strategies (periods on and off) based on clinical judgment rather than established evidence of tachyphylaxis

The risk of musculoskeletal pain, changes in blood lipids, and possible psychological impacts necessitates a thorough risk assessment and close supervision during treatment

Drug combinations Immunosuppressive, antiplatelet, or anticoagulant drugs are essential in kidney disease management [10, 63]