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Neurology 58:13959, PMID: 12011287 Deth R, Muratore C, Benzecry J, Power-Charnitsky VA, Waly M (2008)) How environmenta and genetic factors combine to cause autism: a redox/methylation hypothesis

10.2174/1570159X15666170703111729 39 QinQ.YuN.GuY.KeW.ZhangQ.LiuX.et al (2022)

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35,36 GH excess: disease indications Acromegaly One of the most well-described diseases associated with excess GH is acromegaly, a chronic disease that is generally caused by benign pituitary adenomas, with rare exceptions that include secretion from tumors at other sites

Shaking denatures somatropin through mechanical stress on the 191-amino-acid chain, so don't do it
Maybe results plateau around week four , prompting a conversation with your provider about escalation timing
