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The resulting tiredness persists despite adequate rest and does not respond to early bedtimes or caffeine

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Some symptoms that may point to a growth hormone deficiency include: Low energy or mid-day fatigue Poor sleep quality or difficulty staying asleep Trouble building or maintaining muscle Reduced libido or low sex drive Increased abdominal fat and stubborn weight gain Longer recovery times after workouts or injury Sermorelin therapy may be considered for men experiencing these symptoms, particularly those over 30, after a clinical evaluation