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Br J Cancer 121(6):505-510, 2019

How to minimize risk: Choose reputable suppliers with COAs Start with conservative doses Monitor health markers Track sleep, recovery, energy levels Consider bloodwork (IGF-1 levels) When to avoid: Active cancer (GH can accelerate growth) Uncontrolled diabetes Diabetic retinopathy Carpal tunnel syndrome Under 25 (natural GH still high) Common side effects: Water retention (temporary) Increased appetite Mild carpal tunnel (rare) Tiredness post-injection (first week) Most side effects are mild and temporary

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Important monitoring includes: Blood sugar levels Regular glucose monitoring, especially for diabetes patients