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Reported effects associated with growth hormone therapy may include injection-site reactions, joint or muscle discomfort, fluid retention or swelling, carpal tunnel-like symptoms, and changes in blood sugar or insulin sensitivity

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Management strategies: Keep individual doses at 100 mcg or below Limit total daily GHRP-6 exposure to 300 mcg Prioritize the bedtime dose (cortisol is naturally lowest at night) Monitor for signs of cortisol excess: disrupted sleep, increased abdominal fat, mood changes Consider cycling 8 weeks on, 4 weeks off to prevent cumulative cortisol effects Prolactin elevation GHRP-6 can increase prolactin secretion, though the clinical significance varies by dose and individual sensitivity

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