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MK-677 and IGF-1 Downstream of GH, the liver and other tissues produce insulin-like growth factor 1 (IGF-1), which mediates many of GHs anabolic effects and provides a stable, integrated readout of GH exposure

10.1016/j.celrep.2018.07.070 112 SarihiA.JiangB.KomakiA.SohyaK.YanagawaY.TsumotoT

However, mild and temporary effects may occasionally occur, including: Most patients experience no side effects only steady, noticeable recovery

Because the microgram quantities are so small, precise calculation is especially important: even small misreadings of the syringe correspond to proportionally large dose differences