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8:100717 (2024) Valls RM, Companys J, Calderon-Perez L, Salamanca P, Pla-Paga L, Sandoval-Ramirez BA, Sola R

Sermorelins effects on recovery allow higher training volumes than might otherwise be sustainable, but progressive overload should still follow structured programming rather than simply training as much as possible

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Supplements should never replace evidence-based lifestyle interventions

Thiamin deficiency is also observed as a complication of the refeeding syndrome: the introduction of carbohydrates in severely starved individuals leads to an increased demand for thiamin in glycolysis and the citric acid cycle that precipitates thiamin deficiency (27)

Those observations are included here only to summarize research context