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It effectively stimulates GH release but it also raises cortisol (stress hormone), prolactin (reproductive hormone), and aldosterone (blood pressure regulator), and produces intense hunger (ghrelin-like appetite stimulation). For researchers, these off-target effects create experimental noise
doi: 10.1080/1071576021000006581 35 KirlyL.KnstlerA.FattingerM.HllerK.JuhszC.MllerM.et al
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Injecting air creates positive pressure inside the vial that forces liquid back through the needle tract on subsequent draws, introducing contaminants that compromise sterility over the 28-day use window
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