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According to a peer-reviewed review in Clinical Interventions in Aging , sermorelin restores growth hormone secretion in a more natural, pulse-driven pattern than synthetic growth hormone does (Source: NIH / PMC Sermorelin and adult-onset growth hormone insufficiency)
Therefore, it is speculated to be a multi-factorial disorder, involving epigenetics, genetics and environmental factors
Onset of maternal arterial blood flow and placental oxidative stress: a possible factor in human early pregnancy failure