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Because it stimulates the bodys own growth hormone production, dosing needs to stay within physiologic limits to avoid excess IGF-1. If levels climb too high, she notes, you might get symptoms such as fluid retention, joint stiffness, carpal tunnellike numbness, or mild insulin resistance, though these effects are uncommon with conservative dosing and regular monitoring

Results vary, but many patients notice changes in appetite and energy within weeks of beginning treatment

The presence of diabetes often shapes the approach to treatment, as controlling blood sugar levels can reduce inflammation and support nerve function

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