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Side effects are rare but may include mild pain at the injection site or allergic reactions in some individuals
Use a higher concentration or split into two injections.* At 20 mg/mL, even the maximum 12 mg dose fits within a 1 mL syringe (60 units)
That is the proposed reason it does not raise IGF-1 levels or impair insulin sensitivity in animal work, in contrast to full-length growth hormone
Long-term, PV may progress to myelofibrosis (spent phase) or acute myeloid leukemia (AML) in ~1020% of patients over 20 years
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