Currently, licensed providers can prescribe Sermorelin, though not long ago it was permissible to work with the other peptides you mentioned as well
The mechanism is well documented: this study showing how a CJC-1295 GHRH analog increases growth hormone and IGF-1 secretion while preserving the natural pulsatile pattern is part of why the stack is dosed at night rather than throughout the day
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Desbois-Mouthon C, Wendum D, Cadoret A, Rey C, Leneuve P, Blaise A, Housset C, Tronche F, Le Bouc Y, Holzenberger M: Hepatocyte proliferation during liver regeneration is impaired in mice with liver-specific IGF-1R knockout
This catches any developing issues early