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We do not prescribe GH-releasing peptides to patients whose IGF-1 is already in the high-normal range for their age, because stimulating further GH elevation in that context produces diminishing returns and increases the theoretical risk of side effects from GH excess

Li PY, Liang YC, Sheu MJ, Huang SS, Chao CY, Kuo YH

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A clinician who repeats those figures to a patient is setting up a disappointment and a refund request