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Standard dosing protocol Goal: Maximize GH pulses while keeping side effects manageable Dose: 100 mcg per injection, 2-3 times daily Timing: Dose 1: Immediately upon waking (fasted) Dose 2: Immediately post-workout Dose 3: 30 minutes before bed Administration route: Subcutaneous injection (preferred) or intramuscular

J Child Neurol 1991