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Sigalos and Pastuszak 2018 identified decreased insulin sensitivity and elevated fasting glucose as a consistent adverse signal across the entire GH secretagogue class, GHRH analogs included, even though the mechanism (preserved pulsatility) is theoretically gentler than fixed-dose GH

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Typically, gallbladder disease symptoms manifest as intense pain in the upper right or center of the abdomen

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a tendency toward increased fat storage