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Ethics declarations Conflict of interest KE has been member on advisory boards for Eli Lilly & Co., NovoNordisk, Lifescan, Roche, GSK, Bayer and has received honoraria from these activities

2 Nutritional value and chemical composition of Spirulina Spirulina's nutritional and chemical properties can vary depending on growth conditions, geographical region, cultivation area, algal species, and environmental factors (Table 1

Sermorelin and Ipamorelin administration Sermorelin is a large amino acid and thus can only be administered through injection