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The human cost This is not an abstract dispute

produced a sustained IGF-1 elevation (40-50% above baseline for 14 days) without recapitulating the pulsatile GH architecture

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it involves indigestion, constipation, and other not-so-fun stuff.) Meanwhile, TRT carries a somewhat paradoxical risk of infertility and can result in a high concentration of red blood cells, which increases the possibility of blood clots, heart attacks, and strokes

The List also includes S0: Non-Approved Substances, which covers substances without current approval by a governmental regulatory health authority for human useful use