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Funding Support for this study was provided from the National Natural Science Foundation of China (82101255), the China Postdoctoral Science Foundation (2024M761822), the Natural Science Foundation of Shandong Province (ZR2021MH286), the Scientific Research Foundation of Qilu Hospital of Shandong University (QDKY2023QN02), the Qingdao Key Health Discipline Development Fund (2025) and the Qingdao Outstanding Health Professional Development Fund (2023)

Yet, regarding its dose, different institutions have opposing opinions about the correct dose of vitamin D that could be due to different geographical characteristics for the participants in each study [134, 135]

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Sermorelin is typically administered 30 to 90 minutes before sleep to align with the natural nocturnal growth hormone pulse