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Prevalence of gastric ulcers in endurance horses - a preliminary report

Physiological fatigue corresponds to a homeostatic process, selected by evolution for its usefulness, whereas pathological fatigue unravels a dyshomeostatic state, which reflects a combined dysfunctioning of numerous potential systems, revealed by both physiological issues (chronic inflammation, mitochondrial dysfunctioning, cardio-pulmonary pathologies, endocrinopathies, vitamin deficiencies) and interoceptive processes, with inappropriate corrections by the brain of biological perturbations

Baumgart DC, Sandborn WJ

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You have your chronological age (years lived) and biological age (cellular and systemic health)

Sermorelin is available for off-label use via prescription for anti-aging and vitality purposes