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That's entirely procedural

Clin J Am Soc Nephrology: CJASN

Because it does not activate the hGH receptor (fully) and does not elevate IGF-1 in human trials, it avoids many of the growth-hormone-related side effects (such as insulin resistance) seen with full hGH therapy

Alterations in neuronal glutamate levels, such as by fluxes to and from a glutathione reservoir, might have an impact upon glutamate neurotransmitter

Restlessness, insomnia, headache, psychosis, dry mouth, rash, sexual dysfunction, an unpleasant taste, and gastrointestinal disturbances may also occur