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doi: 10.3389/fmed.2023

The medication is commonly used alongside metformin, with the combination often providing complementary mechanisms of action for improved glycemic control

Inconsistent daily dosing

Abdominal pain and lethargy may be observed, and chronic or severe cases may develop hypoproteinemia (low levels of protein in the blood) with associated fluid buildup in the abdomen, which is called ascites (see Ascites Is a Serious Symptom, CatWatch July 2020, available at catwatchnewsletter.com)

No IGF-1 elevation: HGH increases insulin-like growth factor 1 (IGF-1), which promotes growth of all tissues - including potentially problematic growth