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Factors Indicating Against Dose Escalation Maintain current dose when experiencing significant side effects at present level, achieving satisfactory subjective improvements (better sleep, energy, recovery), IGF-1 increased adequately (50+ ng/mL) for optimization goals, or financial constraints make higher dosing unsustainable

Alcohol use disorder remains one of the most common and challenging conditions facing the veteran population, often occurring alongside other service-related health issues, including post-traumatic stress disorder, chronic pain and other mental health conditions

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