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In a recent meta-analysis by Paraskevas et al

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Johansson and Mannervik, 2002)

HGH injections create supraphysiological spikes followed by rapid decline Side effect profiles differ significantly: Published data shows secretagogues have milder side effects (injection site reactions, mild water retention) compared to HGH (joint pain, insulin resistance, potential organ enlargement at high doses) Regulatory status differs: HGH (somatropin) is FDA-approved for specific conditions

Antioxid Redox Signal (2010) 13(7):102332

As was previously mentioned, levels of GH and IGF-1 steadily decrease over a lifespan, and with the lower hormone levels comes a myriad of side effects such as increased fat mass, cardiovascular dysfunction, decreased muscle mass, and declined cellular protein synthesis