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Growth hormone is one of the most powerful anti-catabolic signals your body has access to

Lower is better, but lower doesnt automatically mean accessible.

As always, the most constructive approach is informed, personalized decision-making in conjunction with your healthcare provider(s)

[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares