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[Abstract]2025 Mar 28;23(4):146

These include: Nausea or vomiting Sleep disturbances Carpal tunnellike symptoms (e.g., tingling in hands or wrists) Gynecomastia (breast tissue swelling in men), though far less likely than with synthetic HGH People with underlying pituitary tumors, untreated thyroid issues, or hormone-sensitive cancers should be screened before starting therapy