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The pituitary gland secretes human growth hormone and has many effects on the body, many of which are mediated by IGF, including: Maintaining muscle mass Promotes fat-burning Improves cardiovascular function Boosts stamina Shortens recovery time Declines in growth hormone are associated with less energy, slower metabolism, reduced muscle mass, increased abdominal fat, trouble sleeping, cognitive changes, and increased recovery time

You're giving yourself injections without tools to track them, managing side effects without knowing which symptoms are serious, and changing your meals without clear goals

Trends Endocrinol Metab (2019) 30:47990

The pattern is similar to the US

Thats where injections come in