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It can significantly promote the synthesis and release of growth hormone (GH) from cells in the pituitary gland, improving the serum concentrations of GH and subsequently insulin-like growth factor 1 (IGF-1) in animals and humans

A more detailed breakdown of how this combination works is covered in the peptide therapy anti-aging overview on the LIVV blog

[227] [349] Additionally, extending citicoline treatment for up to 8 years has shown potential in stabilizing or enhancing glaucomatous visual function, hinting at citicoline's neuroprotective effects in glaucoma