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Combining strong GH secretagogues with GLP-1 agonists creates opposing forces on glucose metabolism

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GH stimulates the production of ammonia in canine renal proximal tubule segments, suggesting that it may be a regulator of net acid secretion [76]

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These may include: Injection site reactions such as redness, swelling, or itching Headaches Flushing or warmth in the face Mild dizziness or fatigue during the first few weeks These effects often resolve as the body adjusts to increased GH activity