I just cant do injections. As of January 2026, the answer is finally yes
Is One Medication Easier On The Stomach
Although immunoassays are fast and practical, antibodies are not perfect

Natural human growth hormone (HGH) declines by up to 15% per decade after age 30 As levels decline, sleep, recovery, and cognitive function are impacted 2 Sermorelin has shown to stimulate the brain to release natural growth hormone 3 Supporting natural GH pulses may support deeper, more restorative sleep cycles 4 May help promote mental clarity and daytime focus 5 Promotes natural, circadian pulses of GH rather than synthetic growth hormone exposure 6 Needle-free and compounded by US-licensed pharmacies SERMORELIN BENEFITS Precision, brain-directed support Designed for targeted nasal delivery to the brain Formulated to support brain-proximate absorption 7 May provide enhanced benefits for sleep and recovery compared to other methods 4 Flexible, clinician-guided dosing to support the best outcomes Needle-free, convenient, and easy to administer Sermorelin has not been approved by the FDA for these uses, but there are multiple studies that have shown these benefits

Patients on dialysis or with elevated creatinine levels must avoid NSAIDs entirely
A provider might use a chart like this as a starting reference before adjusting it to fit the individual