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Processed foods, excessive sugar, and refined carbohydrates can promote inflammation and insulin spikes that counteract the peptides benefits

Injections are more effective for those with absorption issues or severe deficiencies, while pills may suffice for mild deficiencies

Evidence-based alternatives for muscle gain include progressive resistance training, optimized protein intake, adequate sleep, and established supplementation such as creatine or beta-alanine

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(2009) A cross-sectional cohort survey in 2100 patients with painful diabetic neuropathy and postherpetic neuralgia: Differences in demographic data and sensory symptoms