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Elevated GH and IGF-1 can support follicular development and steroidogenesis, potentially increasing progesterone and estradiol levels that support implantation and early pregnancy

Ghrelin is known as the hunger hormone and appears to also regulate hGH release by activating the GHS-R1a in pituitary cells

Pros: Keeps GH levels elevated more consistently throughout the 24-hour cycle

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It is a prescription drug with a defined dose (2 mg subcutaneously once daily), labeled contraindications, and required safety monitoring