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(2011a)
Once GH enters circulation, the liver converts much of it into insulin-like growth factor 1 (IGF-1), which is the downstream mediator responsible for most of GH's tissue-level effects lean mass preservation, lipolysis, cellular repair, and collagen synthesis among them
The cumulative effect builds over 2 to 4 weeks of consistent injections, which is why Triny typically recommends a loading phase before transitioning to monthly maintenance
Site rotation: Move between abdomen, thighs and upper arms to reduce local irritation and lipohypertrophy
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