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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

[14] The injection is generally well tolerated

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The absence of a plausible interaction mechanism no CYP450 involvement, no blood-sugar effects, and poor oral bioavailability means the theoretical risk is low