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All participants had a diagnosis of ASD established with DSM-IV-TR or DSM-5 and validated with ADOS-2 and/or ADI-R, while individuals with neurological or psychiatric comorbidities, recent probiotic or oxytocin use, or unstable medications were excluded

have reviewed their role in pain modulation [23]

Key Benefits of Morning Injections: Enhanced daytime energy and mental clarity GH release supports alertness, focus, and cognitive function during your most productive hours Better workout performance Morning GH stimulation supports muscle development and recovery, making afternoon/evening workouts more effective Natural circadian alignment Mimics your bodys biological preference for morning GH secretion Easier habit formation Morning routine consistency makes it simpler to stick with your protocol long-term Faster visible results Many patients report noticeable energy increases within the first week Considerations and Potential Drawbacks: Less sleep-stage benefit You miss the deep-sleep GH secretion boost that occurs during REM cycles Post-injection activity required Best results come from physical activity after injection, which isnt always possible first thing in the morning Appetite increase Morning GH elevation can increase daytime hunger

Still investigational: not FDA-approved, and patient counseling must reflect this