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33 This article updates previous articles on this topic by Langan and Zawistoski, 4 and by Oh and Brown

IGF-1 elevation is the primary mechanism through which full HGH increases the risk of insulin resistance, fluid retention, and certain growth-related effects at high doses

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The realistic caveat is that long-term maintenance without pharmacologic or procedural support is difficult for most people which is the entire reason the rest of this list exists

Self administration of peptide therapy can create ineffective outcomes or, worse, unintended health risks without oversight