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Psychiatry 17, 174186

doi: 10.1155/2012/302537 107 AdemoluEOzbeyNErbilYTanrikuluSBarbarosUYanikBTet al

Full-length growth hormone produces fat loss but also elevates IGF-1 (with implications for cell proliferation and aging), worsens insulin sensitivity and elevates blood glucose (problematic for diabetics and pre-diabetics), promotes muscle growth and protein synthesis (which may be desired or unwanted depending on goals), causes fluid retention and edema in many users, and requires careful medical monitoring with regular blood work

In this case, Ruth is able to work with a compounding pharmacist to develop an exact formula for direct instillation into the bladder via a catheter