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The selection process is summarized in the flow diagram (Figure 1)

The Biochemical Journal 281, 795802

A Herxheimer reaction (often called a Herx) occurs when bacteria are killed during treatment, triggering an inflammatory response that can temporarily worsen symptoms

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The choice depends on the goal (sleep quality, recovery, body composition, general growth hormone support), the patients response, tolerance for dosing frequency, and side effect considerations

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