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Historically, most peptides have been considered ineffective when swallowed because digestive enzymes in the stomach and small intestine break down protein structures before they can be absorbed

And most importantly, its a reminder that your body deserves support, not shame

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This suggests that very young PWS children may have impaired hypothalamic GHRH secretion with a normal GH pituitary reserve, which could diminish as they grow older, possibly resulting in insufficient levels of GH (107)