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Most other effects, like water retention, are due to the resulting increase in GH itself

[DOI] [PubMed] [Google Scholar] 120.Mallott E.K., Sitarik A.R., Leve L.D., Cioffi C., Camargo C.A., Hasegawa K., Bordenstein S.R

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A meta-analysis of 15 randomized controlled trials (RCTs) revealed that CBT effectively relieved fatigue, depression, and anxiety, with long-term improvements and high adherence [162]