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Because the law still allows compounding pharmacies to make custom versions of a drug

Hypothalamic GHRH stimulates pituitary GH secretion

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GLP-1s for type 2 diabetes mimic the action of a natural hormone involved in blood sugar regulation

The timing remains similar to injection protocols (1-3 hours before activity) though some users report slightly faster onset with nasal spray (30-45 minutes quicker) potentially due to direct CNS access through olfactory pathways