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doi: 10.1002/dta.166 134 PihokerCBadgerTMReynoldsGABowersCY

Achieving a brighter and more even skin tone can be challenging due to environmental factors, leading to pigmentation issues

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The trade-off is that growth hormone stays elevated for longer stretches, which can raise the risk of side effects such as insulin resistance, fluid retention, or joint stiffness
