The limited information from studies already conducted shows it could evoke mild fatigue

Ingredients Purified water, butylene glycol, niacinamide (50,000 ppm), panthenol (50,000 ppm), tranexamic acid (40,000 ppm), 1,2-hexanediol, neopentyl glycol dicaprate, caprylic/ Capric triglyceride, sorbitol, lingonberry extract, Irish moss extract, shea butter, sugarcane extract, alpha-arbutin, bifida fermentation lysate, sodium hyaluronate, neem flower extract, holy basil leaf extract, Indian neem tree leaf extract, turmeric root extract, Chamsan homal extract, white wood ear mushroom extract, pentylene glycol, glycerin, 3-O-ethylascorbic acid (2,000 ppm), bisabolol, tromethamine, ethyl Hexylglycerin, adenosine, hydrogenated lecithin, allantoin, glutathione (100 ppm), ceramide NP, beta-glucan, dipotassium glycyrrhizate, tocopherol, ascorbic acid (1 ppb), ascorbyl glucoside (1 ppb) , tocopheryl acetate, hydroxypropylcyclodextrin, ubiquinone, thioctic acid, potassium hydroxide, behenyl alcohol, carbomer, xanthan gum, disodium EDTA Ingredients subject to change at manufacturer's discretion

That makes it the cleanest GH secretagogue you can use pure GH stimulation without the adrenal or prolactin noise
There are various cost-effective treatments that patients can do at home
Do not induce vomiting